THYROID DISORDERS
The thyroid gland:
*Located in the neck in front of
the trachea (windpipe) and just
below the larynx (voicebox)
*Produces thyroid hormone
which regulates body metabolism,
and influences physical and mental
development
Thyroid disorders:
*hypothyroidism: incidence - up to 5% 1st 5 yo; up to 20% by
adolescence
*hyperthyroidism -
hypothyroidism in Downs
Chronic tiredness
Weight gain
Growth deceleration
Feel cold
Dry skin
Constipation
Goiter
Prominent Eyes
Goiter
Jittery/Hyperactivity
Sensitivity to heat
Weight Loss
Hyperthyroidism Complications:
Thyroid Storm
Life threatening
Caused by infection, stress, untreated hyperthyroidism
Symptoms:
High grade fever
CNS: agitation, delirium/psychosis, seizures, coma
GI: vomiting. Jaundice
Cardiovascular: tachycardia, congestive heart
failure, atrial fibrillation
Can be treated if diagnosed in a timely manner
Etiology
Heterogeneous but mostly autoimmune
Thyroid antibodies are found in ~30% of people with
Treatment
Hypothyroidism:
Thyroid hormone supplementation
Hyperthyroidism:
Medications that prevent the production and
Medical Course
Hypothyroidism: less than
CALL TO ACTION
Parents:
Monitor patients for
signs of
hypothyroidism/
hyperthyroidism
Primary Care
Physicians:
Report to patients
primary care
physician
standard for
diagnosis
Listen to parents
Obesity/Diabetes mellitus
syndrome patients
Possible causes include:
less activity;
Resistance to hormone ghrelin which signals satiety
Diabetes Mellitus
DM is a condition where the body does not
type 1: insulin;
type 2: weight management- diet; exercise; oral
medications; insulin
Diabetes mellitus
Symptoms of Diabetes:
Increased thirst
Increased urination
Constant hunger
Blurred vision
Feeling very tired
Weight loss in type 1 DM
Recommendations to PCP
Measure weight, height and calculate BMI at
Portion control
Avoid sugary foods
congenital heart
disease, celiac
disease further
contribute to short
stature
Growth Hormone Tx in DS
The Downs Syndrome Medical Interest