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Farmaci anti tiroidei in gravidanza: controversie sul rischio di malformazioni congenite

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Sommario

Negli ultimi cinque anni sono stati pubblicati sei studi internazionali, finalizzati a rivelare malformazioni congenite (birth defects) associate al trattamento con ATD (MMI e PTU) in gravidanza, giunti a conclusioni differenti. In due studi è stato rilevato un significativo maggiore rischio di “difetti di nascita” in nati da madri esposte agli ATD (in particolare MMI) nel corso del primo trimestre di gestazione. Gli altri quattro studi giungono a conclusioni sostanzialmente negative. Questa rassegna esamina criticamente i risultati di tali studi e raccomanda di considerare il problema con attenzione e con prudenza in attesa di futuri studi focalizzati sulla sicurezza per la madre e il bambino.

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Correspondence to Francesco Trimarchi.

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Conflitto di interesse

Gli autori Peter Laurberg, Stine Linding Andersen e Francesco Trimarchi dichiarano assenza di conflitti di interesse.

Consenso informato

Lo studio presentato in questo articolo non ha richiesto sperimentazione umana.

Studi su animali

Gli autori di questo articolo non hanno eseguito studi sugli animali.

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Proposta da Francesco Trimarchi.

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Laurberg, P., Linding Andersen, S. & Trimarchi, F. Farmaci anti tiroidei in gravidanza: controversie sul rischio di malformazioni congenite. L'Endocrinologo 17, 78–81 (2016). https://doi.org/10.1007/s40619-016-0181-2

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