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L’ipotiroidismo congenito

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Sommario

L’ipotiroidismo congenito (IC) è la più frequente patologia endocrina presente alla nascita. Un ritardo nella diagnosi o nel trattamento possono provocare disturbi dell’accrescimento o disturbi neuropsicologici, che possono essere prevenuti da un tempestivo inizio della terapia sostitutiva con L-Tiroxina entro le prime 2 settimane dopo la nascita. La diagnosi precoce viene eseguita alla nascita mediante la misura di TSH o TSH e T4 su spot. Dopo una conferma di IC con dosaggio di FT4 e TSH su siero, la terapia con L-tiroxina dovrebbe essere iniziata immediatamente. Altri esami diagnostici come l’ecografia e la scintigrafia tiroidea possono essere utlizzati per la definizione della causa di IC.

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Authors and Affiliations

  1. Dipartimento di Medicina Clinica e Sperimentale, Unità di Endocrinologia, Università di Pisa, Pisa, Italia

    Massimo Tonacchera

  2. Dipartimento di Patologia Umana dell’Adulto e dell’Età Evolutiva “G. Barresi”, Università di Messina, Messina, Italia

    Tommaso Aversa & Filippo De Luca

Authors
  1. Massimo Tonacchera
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  2. Tommaso Aversa
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  3. Filippo De Luca
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Corresponding author

Correspondence to Massimo Tonacchera.

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Conflitto di interesse

Gli autori Massimo Tonacchera, Tommaso Aversa e Filippo De Luca dichiarano di non avere conflitti di interesse.

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

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

Additional information

Proposto da Andrea Lania.

Materiale elettronico supplementare

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Tonacchera, M., Aversa, T. & De Luca, F. L’ipotiroidismo congenito. L'Endocrinologo 20, 121–126 (2019). https://doi.org/10.1007/s40619-019-00580-7

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  • DOI: https://doi.org/10.1007/s40619-019-00580-7

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