Prevalence and structure of thyroid diseases in children and adolescents according to the data of appealability
Background. Thyroid pathology in children and adolescents is a topical problem of endocrinology. The purpose was to study the incidence and structure of thyroid pathology in children and adolescents from data of 2012–2016. Materials and methods. Under supervision in the department of pediatric endocrinology of the Republic Specialized Scientific and Practical Medical Centre of Endocrinology of the Ministry of Health of Republic of Uzbekistan in 2012 to 2016, there were 213 children and adolescents with different thyroid diseases. Results. Greater part was presented by patients with congenital hypothyroidism — 94 cases (44.1 %), then — nodular goiter — 35 persons (16.4 %), diffuse toxic goiter — 30 patients (14.0 %), and also diffuse non-toxic goiter degree I–II — 19 (8.9 %), autoimmune thyroiditis — 14 (6.5 %), multinodular goiter — 15 (7.0 %), acute strumitis — 2 (0.9 %), thyroid cancinoma — 2 (1.0 %). The patients underwent a different spectrum of surgical treatment, total thyroidectomy was performed in 14 (34 %), hemistrumectomy — in 10 (24 %) , extended thyroid lobectomy — in 6 (14.5 %) cases. Conclusions. The incidence of complications of major diseases in children and adolescents was as follows: delay in skeletal development — 17.8 %, delay in physical, sexual, mental, speech development — 25.8 %, physical, mental retardation — 20.4 %, delay in physical and sexual development — 15.6 %, physical development delay — 14.5 %.
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