The effect of L-thyroxine treatment on hypothyroid symptom scores and lipid profile in children with subclinical hypothyroidism

While this does somewhat smack of the "Now who'd have thought it?" level of obviousness, it is nonetheless good to see that this work is being done and reported. A bit more detail wouldn't go amiss!

J Clin Res Pediatr Endocrinol. 2014 Dec 5;6(4):238-44. doi: 10.4274/Jcrpe.1594.

The effect of L-thyroxine treatment on hypothyroid symptom scores and lipid profile in children with subclinical hypothyroidism.

Çatlı G1, Anık A, Ünver Tuhan H, Böber E, Abacı A.

Author information

1Dokuz Eylül University Faculty of Medicine, Department of Pediatric Endocrinology, İzmir, Turkey. E-mail: ayhanabaci@gmail.com

Abstract

OBJECTIVE:

To evaluate i) the frequency of typical hypothyroidism symptoms in children with subclinical hypothyroidism (SH), ii) to evaluate the association of SH with lipoproteins and iii) to investigate possible improving effects of L-thyroxine (LT4) treatment on these findings.

METHODS:

Twenty-seven children with SH who had elevated thyroid-stimulating hormone (TSH: >4.94 µIU/L) but normal free T4 levels and healthy euthyroid children of similar age and sex were enrolled in the study. Anthropometric and laboratory (lipid profile and thyroid function tests) measurements were performed at diagnosis and six months after euthyroidism was achieved. All children were also subjected to a questionnaire on hypothyroid symptoms at diagnosis. The SH patients were subjected to the questionnaire also following treatment. Pre-treatment data were compared with those of controls and post-treatment measurements.

RESULTS:

Anthropometric and laboratory parameters of the groups were not statistically different except for higher TSH levels in the SH group. Serum lipoprotein levels and dyslipidemia frequency were similar between the groups. Compared to the controls, hypothyroidism symptom score was significantly higher in the SH group. Six months after euthyroidism was achieved, a significant reduction in the hypothyroid symptom score was obtained in the SH group. Except for significantly higher serum TSH values, no significant differences regarding demographic characteristics, symptom scores and lipid parameters were present between patients with Hashimoto's thyroiditis and the remaining SH patients.

CONCLUSION:

The results of this study showed that in children with SH i) the hypothyroidism symptom score was significantly higher than in euthyroid children, ii) LT4 treatment improved the hypothyroidism symptom score and iii) SH does not seem to be associated with dyslipidemia.

PMID: 25541895

ncbi.nlm.nih.gov/pubmed/255...

Rod

3 Replies

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  • Rod, the link for the free, full, PDF. PR

    cms.galenos.com.tr/FileIssu...

  • Thanks. :-)

  • It's good to know that there is some little research being done in our area - even if it doesn't ever seem to feed through to patients.

    I so wish I was clever enough to understand the abstracts!

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