Skydliaukės sutrikimai vaikams, sergantiems nuo insulino priklausomu cukriniu diabetu

Abstract

Dėl skydliaukės sutrikimų ištyrus 9-19 metų amžiaus 93 vaikus ir paauglius, sergančius I tipo cukralige 4-5 metus, 10,7 proc. buvo rasta padidėjusi skydliaukė (daugiau 97 percentilės), autoimuninis tiroiditas nustatytas 5,4 proc. Visiems vaikams TTH ir fT4 koncentracija buvo normos ribose. Rekomenduojama vaikus, sergančius cukralige, nustačius jiems pakitimus skydliaukėje, tirti dėl galimo autoimuninio tiroidito. We examined 93 children and adolescents (51 boy and 42 girls) suffering from IDDM for 4 years aged from 9-16 years old. Palpable goitre was detected in 34 children (36.6%): 17 boys and 17 girls. Thyroid volume was more than 97‰ in 10 children (10.7%). Hypoechogenic thyroid in ultrasonography was detected in 6 children (17.6% among children with palpable goitre and 6.5% among all children): diffuse hypoechogenic pattern was in 5 children (3 boys and 2 girls) and 1 girl has a hypoechogenic nodule 0.6 cm in diameter. Fine needle aspiration revealed lymphocytic infiltration in these 5 children and identified colloid in the nodule. These 5 children were positive for microsomal antibodies and euthyrotic. So autoimmune thyroiditis was detected in 5.4% among all investigated for thyroid disorder diabetic children. Children and adolescents with IDDM should be carefully investigated for thyroid disorders.