Iodine deficiency hypothyroidism in children in recent years: a re-emerging issue?

Autor: Tejal Patel, Rachel Longendyke, Roopa Kanakatti Shankar, Nadia Merchant
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Endocrinology, Diabetes & Metabolism Case Reports, Vol 2024, Iss 2, Pp 1-5 (2024)
Druh dokumentu: article
ISSN: 2052-0573
DOI: 10.1530/EDM-24-0038
Popis: Iodine nutrition is a growing issue within the USA due to newer trends of non-iodized salts. There are no recent reviews looking at the current state of iodine deficiency-induced hypothyroidism in children in the USA. We performed a retrospective chart review at our tertiary pediatric endocrine clinic; four met the diagnostic criteria for iodine deficiency defined by a low urine iodine level. We further characterized severity of disease, risk factors, goiter, thyroid labs and antibodies. All cases had significant goiter and were diagnosed within the last 2 years. One case had iodine deficiency due to no iodized salt intake along with concurrent diagnosis of developmental delay and multiple food allergies, while others involved the use of non-iodized salts. Two cases had iodine deficiency along with autoimmunity. It is critical to obtain a dietary history for all patients who present with goiter and/or hypothyroidism. There may be a need to consider reevaluating current preventative measures for iodine deficiency, especially for certain vulnerable populations such as children who do not consume iodized salt.
Databáze: Directory of Open Access Journals