Thyroid Profile Abnormalities in Pediatric Population and their Correlation with Age: A Cross-Sectional Study at a Tertiary Care Hospital of South Punjab
DOI:
https://doi.org/10.51985/Keywords:
Autoimmune thyroiditis, Hyperthyroidism, Hypothyroidism, Thyroid function testsAbstract
Objective: To determine prevalence and pattern of thyroid profile abnormalities (hypothyroidism, hyperthyroidism, subclinical hypothyroidism, and subclinical hyperthyroidism) in pediatric population and to correlate these abnormalities with age in children presenting to a tertiary care hospital of South Punjab.
Study design and setting: This cross-sectional study was conducted for two months from 5-Dec-2024 to 5-Feb-2025 in Pathology department of Children Hospital and Institute of Child Health (CH & ICH) Multan.
Methodology: All the patients of 1-14 years whose thyroid profile was requested for any clinical indication were included in the study using consecutive sampling technique. Participants were divided into 3 age groups of 1-5 years, 6-10 years and 11-14 years. Data was entered and analyzed using SPSS 22. P-value of <0.05 was considered statistically significant. Results: Among 200 children included in the study 60(30%) were found to have thyroid disorders. Subclinical hypothyroidism was seen in 36(60%) children and was most common thyroid disorder. Thyroid disorders were slightly more common in females. Difference of Mean T3, T4 and TSH in various thyroid disorders was statistically significant with p value of 0.000.
Majority of the children (44%) were in 1-5 years age group. No correlation was found between age of the patients and thyroid disorders (r=0.004, sig. 2 tailed=0.966).
Conclusion: Subclinical hypothyroidism is the most common thyroid disorder among children and thyroid profile abnormalities are not related to age.
References
1. Hanley P, Lord K, Bauer AJ. Thyroid disorders in children
and adolescents: a review. JAMA pediatr. 2016; 170(10):1008-
19 DOI: 10.1001/jamapediatrics.2016.0486
2. Oyenusi EE, Ajayi EO, Akeredolu FD, Oduwole AO. Pattern
of thyroid disorders in children and adolescents seen at the
Lagos University Teaching Hospital, Nigeria, over a 10-year
period. Niger Med J. 2017; 58(3):101-6 DOI: 10.4103/
nmj.NMJ_156_16
3. Lee H, Hodi FS, Giobbie-Hurder A, Ott PA, Buchbinder EI,
Haq R, et al. Characterization of thyroid disorders in patients
receiving immune checkpoint inhibition therapy. Cancer
Immunol Res. 2017;5(12):1133-40 DOI: https://doi.org/
10.1158/2326-6066.CIR-17-0208
4. Rivkees S, Bauer AJ. Thyroid disorders in children and
adolescents. Sperling Pediatr Endocrinol: Elsevier. 2021:
395-424 DOI: https://doi.org/10.1016/B978-0-323-62520-
3.00013-0
5. Shah N, Ursani TJ, Shah NA, Raza HMZ. Prevalence and
manifestations of hypothyroidism among population of
Hyderabad, Sindh, Pakistan. PAB. 2021; 10(3):668-75 DOI:
https://dx.doi.org/10.19045/bspab.2021.100069
6. Calcaterra V, Nappi RE, Regalbuto C, De Silvestri A, Incardona
A, Amariti R, et al. Gender differences at the onset of
autoimmune thyroid diseases in children and adolescents.
Front Endocrinol. 2020;11:229 DOI: https://doi.org/10.3389/
fendo.2020.00229
7. Casto C, Pepe G, Li Pomi A, Corica D, Aversa T, Wasniewska
M. Hashimoto’s thyroiditis and Graves’ disease in genetic
syndromes in pediatric age. Genes. 2021;12(2):222 DOI:
https://doi.org/10.3390/genes12020222
8. Kucharska AM, Witkowska-S?dek E, Labochka D, Rumiñska
M. Clinical and biochemical characteristics of severe
hypothyroidism due to autoimmune thyroiditis in children
Front Endocrinol. 2020; 11:364 DOI: https://www.frontiersin
.org/articles/10.3389/fendo.2020.00364/full
9. Salerno M, Capalbo D, Cerbone M, De Luca F. Subclinical
hypothyroidism in childhood—current knowledge and open
issues. Nat Rev Endocrinol. 2016; 12(12):734-46
10. Metwalley KA, Farghaly HS. Subclinical hyperthyroidism in
children. J Pediatr Endocrinol Metab. 2023; 36(4):342-5 DOI:
https://doi.org/10.1515/jpem-2022-0534
11. Srinivasan S, Misra M. Hyperthyroidism in children. Pediatr
Rev. 2015; 36(6):239-48
12. Kaðýzmanlý GA, Demir K. Interpretation, differential
diagnosis, and clinical implications of abnormal thyroid
function tests in children. Trends in Pediatr. 2023; 4(2):61-
71 DOI: https://doi.org/10.59213/TP.2023.5321513.
13. Singh A, Purani C, Mandal A, Mehariya KM, Das RR.
Prevalence of thyroid disorders in children at a tertiary care
hospital in western India. J Clin Diagn Res. 2016; 10(2):SC01
DOI: https://doi.org/10.7860/JCDR/2016/16315.7189
14. Reza S, Shaukat A, Arain TM, Riaz QS, Mahmud M.
Expression of osteopontin in patients with thyroid dysfunction.
PLoS One. 2013; 8(2):56533 DOI: https://doi.org/10.1371/
journal.pone.0056533
15. Shah NA, Modi PJ, Bhalodia JN, Desai NJ. Evaluation of
thyroid diseases by hormonal analysis in pediatric age group.
Natl J Med Res. 2013; 3(04):367-70
16. Al-Qahtani MH, ElYahia SA, AlQahtani AS, AlQahtani AJ,
Alamer AA, AlQahtani SM, et al. Thyroid disorders spectrum
in pediatric endocrine clinic; seven-year experience of a
teaching hospital in Saudi Arabia. Children. 2023;10(2):390
DOI: https://doi.org/10.3390/children10020390
17. Mansoor R, Rizvi S, Huda S, Khan C. Spectrum of thyroid
diseases, an experience in the tertiary care and teaching
hospital. Pak Inst Med Sci. 2010; 6(2):101-6
18. Andersson M, Braegger CP. The role of iodine for thyroid
function in lactating women and infants. Endocr Rev. 2022;
43(3):469-506 DOI: https://doi.org/10.1210/endrev/bnab029
19. Murillo-Vallés M, Martinez S, Aguilar-Riera C, Garcia-Martin
MA, Bel-Comós J, Ybern MLG. Subclinical hypothyroidism
in childhood, treatment or only follow-up? BMC pediatr.
2020;20:1-6
20. Kaplowitz PB. Neonatal thyroid disease. Current Adv Neonatal
Care, an issue of pediatric clinics of North America. 2019
;66:343-52 DOI: https.//doi.org/10.1016/j.pcl.2018.12.005
21. Taylor PN, Albrecht D, Scholz A, Gutierrez-Buey G, Lazarus
JH, Dayan CM, et al. Global epidemiology of hyperthyroidism
and hypothyroidism. Nat Rev Endocrinol. 2018;14(5):301-
16
22. Niedziela M. Hyperthyroidism in adolescents. Endocr Connect.
2021; 10(11):R279-R92
23. Iqbal MA, Naseem Z, Qureshy A, Shahid A, Roohi N.
Prevalence and manifestations of thyroidal dysfunction in
Central Punjab Pakistan (a case study). Sci Int. 2016;
28(4):3959-63
24. Shulhai A-M, Rotondo R, Petraroli M, Patianna V, Predieri
B, Iughetti L, et al. The role of Nutrition on thyroid function.
Nutr. 2024; 16(15):2496
25. Mallhi TH, Kanwal H, Mushtaq S, Akash MSH, Ahmad N,
Khan YH, et al. Thyroid Disorder Management in Developing
Countries. Handbook of medical and health sciences in
developing countries: Education, practice, and research:
Springer. 2023;1-23. DOI: 10.1007/978-3-030-74786-2_13-
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