Thyroid Profile Abnormalities in Pediatric Population and their Correlation with Age: A Cross-Sectional Study at a Tertiary Care Hospital of South Punjab

Authors

  • Mehvish Sana Author
  • Zille Rubab Author
  • Ayesha Fayyaz Author
  • Waqas Imran Author

DOI:

https://doi.org/10.51985/

Keywords:

Autoimmune thyroiditis, Hyperthyroidism, Hypothyroidism, Thyroid function tests

Abstract

 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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Published

2025-10-14

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