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, characterized by the presence of TPOAb, TGAb, or both, in combination with suppressed thyroid function, is by far more common than Graves’ hyperthyroidism [ 2 ]. Childhood autoimmune hypothyroidism is more common in girls, with peak incidence in early or mid
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Department of Pediatric Endocrinology, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
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Endocrine Unit, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
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evaluated by thyroid ultrasound, and proceed to cytological evaluation if indicated from the sonographic findings, or undergo total thyroidectomy (2,ØØOO). Prognosis • Young people diagnosed with GD, diagnosed and treated in childhood, may have a
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Dear Sir, The results of the long awaited Antenatal Thyroid Screening and Childhood Cognitive Function study have finally been published in the New England Journal of Medicine after a preliminary presentation of findings at the
Institut Gustave Roussy, Villejuif, France
Université Paris-Saclay, Villejuif, France
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Institut Gustave Roussy, Villejuif, France
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Rhône-Alpes Thyroid Cancer Registry, Cancer Research Center of Lyon (UMR INSERM 1052, CNRS 5286), RTH Laennec Faculty of Medicine, University of Lyon, Lyon
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French National Registry of Childhood Solid Tumours, CHU, Nancy
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Institut Gustave Roussy, Villejuif, France
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incidence. In addition to exposure to ionizing radiation during childhood or adolescence, which is the main established risk factor for DTC, a number of other risk factors are now well documented. These include anthropometric factors like height, BMI or body
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Introduction Childhood thyroid cancer is a rare malignancy, but its incidence has been gradually increasing according to several epidemiologic studies [ 1 , 2 ]. An increase in the incidence of childhood thyroid cancer (aged 0-14 years) was
Master Program on Childhood, Adolescent and Women's Endocrine Health, University of Messina School of Medicine, Italy
Interdepartmental Program of Molecular and Clinical Endocrinology, and Women's Endocrine Health, University Hospital Policlinico G. Martino, Messina, Italy
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Nephrotic syndrome increases <smlcap>L</smlcap>-thyroxine requirements because of urinary loss of free and protein-bound thyroid hormones. We report 2 hypothyroid patients referred to us because of high serum TSH, even though the <smlcap>L</smlcap>-thyroxine daily dose was maintained at appropriate levels or was increased. The cause of nephrotic syndrome was multiple myeloma in one patient and diabetic glomerulosclerosis in the other patient. As part of the periodic controls for diabetes, urinalysis was requested only in the second patient so that proteinuria could be detected. However, as in the first patient, facial puffiness and body weight increase were initially attributed to hypothyroidism, which was poorly compensated by <smlcap>L</smlcap>-thyroxine therapy. In the first patient, the pitting nature of the pedal edema was missed at the initial examination. An endocrinologist consulted over the phone by the practitioner hypothesized some causes of intestinal malabsorption of <smlcap>L</smlcap>-thyroxine. This diagnosis would have been accepted had the patient continued taking a known sequestrant of <smlcap>L</smlcap>-thyroxine, i.e. calcium carbonate. The diagnostic workup of patients with increasing requirements of <smlcap>L</smlcap>-thyroxine replacement therapy should not be concentrated on the digestive system alone. Careful history taking and physical examination need to be thorough. Endocrinologists should not forget nephrotic syndrome that, in turn, can be secondary to serious diseases.
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gland. Together these suggest that the initial mutations in the cascade that results in the development of papillary thyroid cancer commonly occur in infancy or early childhood and that those cancers that have not achieved full immortality before
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expression of genes that control chondrocyte maturation and cartilage matrix synthesis, mineralization and degradation. Thyroid Hormone Effects on Linear Growth and Skeletal Development During childhood and adolescence, hypothyroidism causes growth
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Beijing Key Laboratory for Pediatric Diseases of Otolaryngology, Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health (NCCH), Beijing, China
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Introduction Thyroid cancer is rare in the childhood period, the incidence in children is much lower than that in adults. In China, the incidence of differentiated thyroid cancer (DTC) in children is about 0.44 cases per 1,00,000 persons, and
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Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands
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Department of Genetics, University Medical Center Utrecht, Utrecht, The Netherlands
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Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands
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already present during childhood, whereas the risk of developing other types of cancer during childhood appears to be equal to that of the general population [ 2 ]. This may warrant periodic surveillance for DTC in affected children, and currently several