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Tiroidite di Hashimoto in età pediatrica: diagnosi e terapia

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Riassunto

La tiroidite di Hashimoto è la più comune malattia della tiroide nonché la causa più frequente di gozzo e di ipotiroidismo acquisito in età pediatrica in presenza di un normale apporto iodico. La tiroidite di Hashimoto è una malattia cronica autoimmune, spesso asintomatica e per tale motivo viene diagnosticata, nei bambini enegli adolescenti, solo occasionalmente o in corso di screening familiari o scolastici. La diagnosi è basata sulle indagini di laboratorio e sull’ecografia tiroidea. Alla diagnosi la funzionalità tiroidea può essere normale o alterata con ipotiroidismo subclinico o conclamato oppure, occasionalmente, con transitorio ipertiroidismo. La terapia sostitutiva con levotiroxina, che trova accordo unanime in caso di ipotiroidismo conclam ato, è invece molto discussa in caso di ipotiroidismo subclinico

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Authors and Affiliations

  1. Servizio di Endocrinologia Pediatrica, Ospedale Regionale per le Microcitemie, ASL Cagliari, Via Jenner snc, Cagliari, Italia

    Sabrina Pilia, Maria Rosaria Casini &  Sandro Loche

  2. Servizio di Radiologia, Ospedale Regionale per le Microcitemie, ASL Cagliari, Cagliari, Italia

    Andrea Chabert

Authors
  1. Sabrina Pilia
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  2. Maria Rosaria Casini
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  3. Andrea Chabert
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  4. Sandro Loche
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Correspondence to Sandro Loche.

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Pilia, S., Casini, M.R., Chabert, A. et al. Tiroidite di Hashimoto in età pediatrica: diagnosi e terapia. L’Endocrinologo 10, 95–101 (2009). https://doi.org/10.1007/BF03344660

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  • DOI: https://doi.org/10.1007/BF03344660

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