Sonography of the distal femoral epiphysis in the etiological diagnosis of congenital hypothyroidism

2020 ◽  
Author(s):  
Ronald Freire ◽  
Marina Becalli ◽  
Mylene Murad ◽  
Ronaldo Souza ◽  
Liliana Prata Souza ◽  
...  
Keyword(s):  
Congenital Hypothyroidism ◽  
Etiological Diagnosis ◽  
Distal Femoral Epiphysis

scholarly journals Sonographic evaluation of children with congenital hypothyroidism

2015 ◽  
Vol 48 (4) ◽  
pp. 220-224 ◽  
Author(s):  
Anelise de Almeida Sedassari ◽  
Luis Ronan Marquez Ferreira de Souza ◽  
Nathalie de Almeida Sedassari ◽  
Maria de Fátima Borges ◽  
Heloisa Marcelina da Cunha Palhares ◽  
...  
Keyword(s):  
Thyroid Gland ◽  
Congenital Hypothyroidism ◽  
Noninvasive Imaging ◽  
Treatment Discontinuation ◽  
Ectopic Thyroid ◽  
Imaging Method ◽  
Thyroid Ultrasonography ◽  
Etiological Diagnosis ◽  
Sonographic Evaluation ◽  
Definition Of

Abstract Objective: To establish benchmarks and study some sonographic characteristics of the thyroid gland in a group of euthyroid children aged up to 5 years as compared with age-matched children with congenital hypothyroidism. Materials and Methods: Thirty-six children (17 female and 19 male) aged between 2 months and 5 years were divided into two groups – 23 euthyroid children and 13 children with congenital hypothyroidism – and were called to undergo ultrasonography. Results: In the group of euthyroid children (n = 23), mean total volume of the thyroid gland was 1.12 mL (minimum, 0.39 mL; maximum, 2.72 mL); a homogeneous gland was found in 17 children (73.91%) and 6 children (26.08%) had a heterogeneous gland. In the group of children with congenital hypothyroidism (n = 13), mean total volume of the thyroid gland was 2.73 mL (minimum, 0.20 mL; maximum, 11.00 mL). As regards thyroid location, 3 patients (23.07%) had ectopic thyroid, and 10 (69.23%) had topic thyroid, and out of the latter, 5 had a homogeneous gland (50%) and 5, a heterogeneous gland (50%). In the group with congenital hypothyroidism, 6 (46.15%) children had etiological diagnosis of dyshormoniogenesis, 3 (23.07%), of ectopic thyroid, and 4 (30.76%), of thyroid hypoplasia. Conclusion: Thyroid ultrasonography is a noninvasive imaging method, widely available, easy to perform and for these reasons could, and should, be performed at any time, including at birth, with no preparation or treatment discontinuation, to aid in the early etiological definition of congenital hypothyroidism.

Endoscopic Ultrasound in the Etiological Diagnosis of Idiopathic Pancreatitis

Endoscopy ◽  
2011 ◽  
Vol 43 (S 03) ◽  
Author(s):  
Qin Shan-Yu ◽  
Jiang Hai-Xing ◽  
Tan Zhi-Rou ◽  
Tang Guo-Du
Keyword(s):  
Endoscopic Ultrasound ◽  
Etiological Diagnosis ◽  
Idiopathic Pancreatitis

Brain FDG PET for the Etiological Diagnosis of Clinically Uncertain Cognitive Impairment During Delirium in Remission

2020 ◽  
Vol 77 (4) ◽  
pp. 1609-1622
Author(s):  
Franziska Mathies ◽  
Catharina Lange ◽  
Anja Mäurer ◽  
Ivayla Apostolova ◽  
Susanne Klutmann ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Fdg Pet ◽  
False Negative ◽  
Ground Truth ◽  
Etiological Diagnosis ◽  
Geriatric Unit ◽  
Positron Emission ◽  
The Brain ◽  
Hospitalized Geriatric Patients

Background: Positron emission tomography (PET) of the brain with 2-[F-18]-fluoro-2-deoxy-D-glucose (FDG) is widely used for the etiological diagnosis of clinically uncertain cognitive impairment (CUCI). Acute full-blown delirium can cause reversible alterations of FDG uptake that mimic neurodegenerative disease. Objective: This study tested whether delirium in remission affects the performance of FDG PET for differentiation between neurodegenerative and non-neurodegenerative etiology of CUCI. Methods: The study included 88 patients (82.0±5.7 y) with newly detected CUCI during hospitalization in a geriatric unit. Twenty-seven (31%) of the patients were diagnosed with delirium during their current hospital stay, which, however, at time of enrollment was in remission so that delirium was not considered the primary cause of the CUCI. Cases were categorized as neurodegenerative or non-neurodegenerative etiology based on visual inspection of FDG PET. The diagnosis at clinical follow-up after ≥12 months served as ground truth to evaluate the diagnostic performance of FDG PET. Results: FDG PET was categorized as neurodegenerative in 51 (58%) of the patients. Follow-up after 16±3 months was obtained in 68 (77%) of the patients. The clinical follow-up diagnosis confirmed the FDG PET-based categorization in 60 patients (88%, 4 false negative and 4 false positive cases with respect to detection of neurodegeneration). The fraction of correct PET-based categorization did not differ between patients with delirium in remission and patients without delirium (86% versus 89%, p = 0.666). Conclusion: Brain FDG PET is useful for the etiological diagnosis of CUCI in hospitalized geriatric patients, as well as in patients with delirium in remission.

Congenital Hypothyroidism

2018 ◽  
Author(s):  
Elfrida Kote Ollomani ◽  
Ada Pema
Keyword(s):  
Congenital Hypothyroidism

The impact of receiving a diagnosis of congenital hypothyroidism on families

2014 ◽  
Author(s):  
Sabah Alvi ◽  
Julia Priestley ◽  
Amanda Whitehead ◽  
Jenny Walker ◽  
Talat Mushtaq
Keyword(s):  
Congenital Hypothyroidism ◽  
The Impact
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