Another reason to look for non-thyroidal illness/euthyroid sick syndrome in another illness.
Is it possible that, in time, thyroid status will be seen as every bit as relevant and important as temperature, blood pressure and all the other things that are done almost totally automatically?
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PECULIARITIES OF THYROID STATUS OF PRESCHOOL
CHILDREN WITH ACUTE BRONCHITIS
DOI: 10.36740/WLek202204117
Oleksandr Smiyan, Anastasiia Havrylenko, Andriy Loboda, Sergey Popov, Viktoriia Petrashenko, Kateryna Smiian, Tatiana Aleksakhina
SUMY STATE UNIVERSITY, SUMY, UKRAINE
ABSTRACT
The aim: The aim of this study was to determine the characteristics of thyroid status (thyroid hormone, total and free fractions of triiodothyronine and thyroxine, reversible triiodothyronine, antibodies to thyroperoxidase) of preschool children with acute bronchitis.
Materials and methods: We examined 135 preschool children (from 3 to 6 years old) with acute bronchitis (main group) and 28 apparently healthy subjects who were in the control group. It used clinical-anamnestic, laboratory and instrumental research methods. Evaluation of the course of acute bronchitis was carried out in the acute period of the disease. All results were statistically processed using the SPSS 26 package.
Results: In 33 % of patients with acute bronchitis there are subclinical abnormalities of thyroid hormones, which manifest themselves in the form of euthyroid sick syndrome.
Namely, we found an increased concentration of reversible triiodothyronine in the serum, as well as a decrease in total triiodothyronine and its free fraction.
Conclusions: In patients with acute bronchitis in almost every third case there are functional shifts in hormonal status, which are manifested in the form of the first variant of the euthyroid sick syndrome.
KEY WORDS: acute bronchitis, children, euthyroid sick syndrome, triiodothyronine, thyroxine
Wiad Lek. 2022;75(4 p1):842-84