Evidence map›Paper›PMID 37193101›Full record

ArticleThe Pan African medical journal2023

Characterization of Hashimoto´s thyroiditis in Sudanese children: a cross-sectional study at Gaafar Ibnauf Hospital, Khartoum.

Ghassan Faisal Fadlalbari, Salwa Abdelbagi Musa, Samar Sabir Hassan, Areej Ahmed Ibrahim, Mohamed Ahmed Abdullah

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Article in The Pan African medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ghassan Faisal FadlalbariGaafar Ibnauf Pediatric Tertiary Hospital, Pediatric Endocrinology Unit, Khartoum, Sudan.
Salwa Abdelbagi MusaGaafar Ibnauf Pediatric Tertiary Hospital, Pediatric Endocrinology Unit, Khartoum, Sudan.
Samar Sabir HassanGaafar Ibnauf Pediatric Tertiary Hospital, Pediatric Endocrinology Unit, Khartoum, Sudan.
Areej Ahmed IbrahimGaafar Ibnauf Pediatric Tertiary Hospital, Pediatric Endocrinology Unit, Khartoum, Sudan.
Mohamed Ahmed AbdullahGaafar Ibnauf Pediatric Tertiary Hospital, Pediatric Endocrinology Unit, Khartoum, Sudan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: literature on Hashimoto´s thyroiditis, the common thyroid illness in the young populations, in Sudan and Africa is scarce. We aimed to study its clinical profile and outcome among Sudanese children and adolescents. Methods: records of 73 patients were reviewed. Data related to demographics, presenting features, family history and coexistence of autoimmune diseases, physical examination findings, and biochemical progression over time were obtained. Results: patients´ mean age at the diagnosis was 10.6 ± 2.9 years, 80.8% (n = 59) of them were female and 83.6% (n = 61) were residing in iodine-sufficient areas. The commonest presenting features were thyromegaly and fatigability (79.5%, n = 58 and 43.8%, n = 32, respectively) after an illness duration of 0.5-48 months. Autoimmune comorbidities were documented in 8.2% (n = 6) of our series and more than half (53.4%, n = 39) of them were pre-pubertal at the diagnosis. Sixty point three percent (60.3%) (n = 44), 20.5% (n = 15), 13.7% (n = 10) and 5.5% (n = 4) of patients presented with overt hypothyroidism, sub-clinical hypothyroidism, euthyroidism and hyperthyroidism respectively, and there were no significant differences in the clinical profile between them. In patients' continued follow-up, 94.1% (n = 32/34) of those presented with overt hypothyroidism required levothyroxine therapy to maintain euthyroidism for 0.5-13 years, while 85.7% (n = 6/7) of those with euthyroidism remained so for 0.5-6 years. Remission was reported in all hyperthyroid patients and in only 5.9% (n = 2/34) of those with overt hypothyroidism at diagnosis. The majority of our patients with subclinical hypothyroidism were treated with levothyroxine and continued to be euthyroid for 10 months to 13 years. Conclusion: goiter was the commonest presenting feature of Hashimoto´s thyroiditis. The majority of patients had overt or subclinical hypothyroidism and almost all of them required long-term levothyroxine therapy.

Indexed as

GoiterHashimoto DiseaseHyperthyroidismHypothyroidismAdolescentChildCross-Sectional StudiesFemaleHumansMaleSudanThyroxineThyroxineChildrenclinical featuresHashimoto´s thyroiditisoutcomeSudan

Identifiers

PMID37193101
PMCPMC10182378

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