scholarly journals The results of ultrasound examination of the thyroid gland in children with hypothyroidism

2021 ◽  
Vol 11 (9) ◽  
pp. 852-861
Author(s):  
Snizhana Sokolnyk ◽  
Iryna Sokolnyk ◽  
Dmytro Nechytaylo ◽  
Dmytro Kolesnik ◽  
Mykola Hinhuliak ◽  
...  
Keyword(s):  
Thyroid Gland ◽  
Ultrasound Examination ◽  
Pathological Condition ◽  
Thyroid Tissue ◽  
Thyroid Stimulating Hormone ◽  
The Body ◽  
Sonographic Examination ◽  
High Level ◽  
Thyroid Parenchyma ◽  
Stimulating Hormone

Diseases of thyroid gland (TG) rank first among all endocrine pathologies and remain one of the most difficult problems. According to the statistics of Ministry of Health of Ukraine, the prevalence of hypothyroidism in children does not exceed 0.035%. However, the relatively low rate can be explained by the low level of detection and diagnosis of this pathological condition due to the variability and low specificity of its symptoms. More acceptable for practice are methods of ultrasound diagnosis of the thyroid gland and laboratory examination of the content of thyroid-stimulating hormone in the serum. Aim. To evaluate the results of ultrasound examination of the thyroid gland in children with hypothyroidism. Methods. The results are based on a survey of 94 children with hypothyroidism living in the Chernivtsi region aged 2 to 10 years. An ultrasound examination of the thyroid gland, determination of the level of thyroid hormones (thyroid stimulating hormone (TSH), free thyroxine (fT4) was performed. Statistical analysis was performed using standard methods using the StatSoft software package © Statistica® 6.0 for Microsoft® Windows XP. Results. Analysis of the results of the study showed that in 59.6% of cases (56 out of 94) the diagnosis was made by screening for congenital hypothyroidism, and in 40.4% of cases (38 out of 94) the disease was diagnosed outside the screening. According to the results of our ultrasound, it was found that in 29 patients the thyroid tissue was not visualized in a typical place or its total volume was much less than normal. Of these, in 12 individuals, thyroid tissue was not reliably visualized at the site of TG projection, and in 17 cases was hypoplasia. In 65 patients, the TG was in a typical place, and its volume corresponded to the norm on the surface area of the body. In 85 people, regardless of the state of functional activity of the TG had a heterogeneous echostructure of the thyroid parenchyma), in 9 people the echostructure of the thyroid parenchyma was homogeneous. In thyroid hypoplasia, the level of TSH was at lower values (p <0.05) compared with thyroid dystopia. Conclusion. Sonographic examination of the thyroid gland has a high level of information. In cases of malformations of the thyroid gland there is a more pronounced degree of thyroid insufficiency.

scholarly journals EFFECTS OF SILVER NANOPARTICLES ON THYROID GLAND STRUCTURE AND FUNCTION IN FEMALE RATS

2018 ◽  
Vol 11 (11) ◽  
pp. 509 ◽  
Author(s):  
Amal A Sulaiman ◽  
Noori M Luaibi ◽  
Hiba A Qassim
Keyword(s):  
Silver Nanoparticles ◽  
Thyroid Gland ◽  
Thyroid Tissue ◽  
Serum Levels ◽  
Treated Group ◽  
Thyroid Stimulating Hormone ◽  
Female Rats ◽  
Thyroid Gland Function ◽  
High Level

Objective: Due to their unique properties, silver nanoparticles (AgNPs) gained a broad utilization in nano-based industries and medicine, which may expose human to increased levels of NPs. However, little is known about their potential harmful effects on endocrine physiology. Hence, this study aimed to investigate the potential dose- and time-dependent outcomes of AgNPs on serum levels of thyroid hormones and thyroid gland histology in female rats.Methods: A total of 60 female rats were divided into three groups (each of 20 animals), treated with AgNPs for (10, 20, and 30) days. Within each treatment period, animals were assigned into four subgroups each of five rats; control treated with vehicle and the others treated with 12.5, 25, and 50 mg/kg of AgNPs, respectively, by intraperitoneal injection. At the end of treatments, all rats were sacrificed; blood samples were obtained and analyzed for serum levels of T3, T4, and thyroid-stimulating hormone (TSH). Thyroid gland was removed and weighed then kept in buffered formalin solution for microscopic examination.Results: The data showed a significant increase in the weight of the thyroid gland after 20 and 30 days of the treatment with 50 mg/kg of AgNPs, while the 25 mg/kg dose of AgNps resulted in significant increase only after 30 days. Serum levels of T3 and TSH were nonsignificantly altered by AgNPs in all the treatment groups. Thyroxin levels (T4) were significantly decreased after long-term exposure. Histological specimens of AgNPs treated group showed disturbance of the normal architecture of the thyroid tissue with degeneration of thyroid follicles and desquamated luminal cells.Conclusion: The results of the current study suggested the possible disrupting potential of long-term exposure to high level of AgNPs on thyroid gland function and histology in female rats.

scholarly journals Amyloid Accumulation in the Toxic Nodule of the Thyroid Gland in a Patient with End Stage Renal Failure

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Umut Mousa ◽  
Sema Aktas ◽  
Halit Uner
Keyword(s):  
Thyroid Gland ◽  
Thyroid Tissue ◽  
Nodular Goiter ◽  
The Body ◽  
Medullary Thyroid ◽  
End Stage Renal Failure ◽  
Toxic Nodular Goiter ◽  
Amyloid Accumulation ◽  
End Stage ◽  
Thyroid Parenchyma

Amyloidosis is characterized by accumulation of amorphous, proteinaceous material in various organs and tissues of the body. Amyloid may accumulate in the thyroid gland in cases of medullary thyroid carcinoma and systemic amyloidosis. Amyloid accumulates extracellularly in the thyroid parenchyma and disrupts the normal follicular patterns. Most of the cases reported up to now were clinically euthyroid, but many presentation forms and overlaps have been reported. Herein we present a patient with toxic nodular goiter with amyloid deposition in the toxic nodule as well as the remaining thyroid tissue.

Role of micronutrient deficiency in development of heart disease in Graves’ disease

2020 ◽  
Vol 1 (19) ◽  
pp. 70-76
Author(s):  
L. V. Kvitkova ◽  
D. S. Vinichenko ◽  
S. A. Smakotina
Keyword(s):  
Ultrasound Examination ◽  
Selenium Deficiency ◽  
Cardiovascular Complications ◽  
Thyroid Stimulating Hormone ◽  
The Body ◽  
Control Group ◽  
Diagnostic Model ◽  
Graves Disease ◽  
Stimulating Hormone

Purpose. To assess the contribution of impaired supply of the body with zinc, selenium and copper to the development of cardiovascular complications in patients with Graves’ disease (HD). Methods. The study included 113 women aged 25–60 years with a diagnosis of HD: 54.0 % (n = 61) with moderate thyrotoxicosis, 46.0 % (n = 52) with severe. The duration of the disease is 1–5 years. The control group consisted of 37 women 25–60 years old without thyroid pathology and cardiovascular complications (CVC). All patients were assessed: in the blood – the level of thyroid-stimulating hormone, free thyroxine, the concentration of antibodies to the thyroid-stimulating hormone receptor; in the hair – the concentration of zinc, selenium, copper; results of ultrasound examination of the thyroid gland, echocardiography, 24-hour monitoring of electrocardiography. Results. Selenium deficiency was found in AF in 70.9% of cases (n = 22), zinc in 77.4 % (n = 24), copper in 67.7 % (n = 21) of cases, in CHF, selenium deficiency in 76.9% (n = 40), zinc – 82.7 % (n = 43), copper – 76.9 % (n = 40). In the control group, selenium deficiency was detected in 15.5% (n = 6) (p = 0.01), zinc deficiency – in 27.0% (n = 10) (p = .01), copper deficiency – in 10.8 % (n = 4) (p = 0.01) cases. Using logistic regression, a diagnostic model and a table of CHF risk factors in points were compiled, taking into account the levels of selenium, zinc, copper in the hair. It is advisable to use the table in all patients with HD to determine the degree of risk of CHF; with an average and high risk of developing CHF, it is recommended to include preparations of selenium, zinc, copper in the treatment regimen for HD. Conclusion. The results obtained show that the deficiency of these microelements increases the likelihood of a severe course of HD, the development of CVO, and requires diagnosis and correction.

Infants Diagnosed with Athyreosis on Scintigraphy May Have a Gland Present on Ultrasound and Have Transient Congenital Hypothyroidism

2021 ◽  
pp. 1-8
Author(s):  
Niamh McGrath ◽  
Colin Patrick Hawkes ◽  
Stephanie Ryan ◽  
Philip Mayne ◽  
Nuala Murphy
Keyword(s):  
Thyroid Gland ◽  
Congenital Hypothyroidism ◽  
Thyroid Tissue ◽  
Thyroid Stimulating Hormone ◽  
Thyroid Ultrasound ◽  
Free T4 ◽  
Median Serum ◽  
Thyroid Glands ◽  
Rule Out

Scintigraphy using technetium-99m (<sup>99m</sup>Tc) is the gold standard for imaging the thyroid gland in infants with congenital hypothyroidism (CHT) and is the most reliable method of diagnosing an ectopic thyroid gland. One of the limitations of scintigraphy is the possibility that no uptake is detected despite the presence of thyroid tissue, leading to the spurious diagnosis of athyreosis. Thyroid ultrasound is a useful adjunct to detect thyroid tissue in the absence of <sup>99m</sup>Tc uptake. <b><i>Aims:</i></b> We aimed to describe the incidence of sonographically detectable in situ thyroid glands in infants scintigraphically diagnosed with athyreosis using <sup>99m</sup>Tc and to describe the clinical characteristics and natural history in these infants. <b><i>Methods:</i></b> The newborn screening records of all infants diagnosed with CHT between 2007 and 2016 were reviewed. Those diagnosed with CHT and athyreosis confirmed on scintigraphy were invited to attend a thyroid ultrasound. <b><i>Results:</i></b> Of the 488 infants diagnosed with CHT during the study period, 18/73 (24.6%) infants with absent uptake on scintigraphy had thyroid tissue visualised on ultrasound (3 hypoplastic thyroid glands and 15 eutopic glands). The median serum thyroid-stimulating hormone (TSH) concentration at diagnosis was significantly lower than that in infants with confirmed athyreosis (no gland on ultrasound and no uptake on scintigraphy) (74 vs. 270 mU/L), and median free T4 concentration at diagnosis was higher (11.9 vs. 3.9 pmol/L). Six of 10 (60%) infants with no uptake on scintigraphy but a eutopic gland on ultrasound had transient CHT. <b><i>Conclusion:</i></b> Absent uptake on scintigraphy in infants with CHT does not rule out a eutopic gland, especially in infants with less elevated TSH concentrations. Clinically, adding thyroid ultrasound to the diagnostic evaluation of infants who have athyreosis on scintigraphy may avoid committing some infants with presumed athyreosis to lifelong levothyroxine treatment.

scholarly journals Ectopic thyroid tissue presenting as an external auditory canal mass

2019 ◽  
Vol 5 (2) ◽  
pp. 476
Author(s):  
Nishikanta Verma ◽  
Samuel Devanesan Abishegam ◽  
Abdul Razak Bin Haji Ahmad
Keyword(s):  
Thyroid Gland ◽  
Thyroid Tissue ◽  
The Body ◽  
Ectopic Thyroid ◽  
Thyroid Function Tests ◽  
External Ear ◽  
Ear Canal ◽  
Developmental Defects ◽  
External Ear Canal ◽  
Ectopic Thyroid Tissue

<p class="abstract">An ectopic thyroid is a rare occurrence with a majority of ectopic thyroid tissue located in the lingual region or in the midline. The abnormal sites represent developmental defects in migration from the floor of the primitive foregut at the foramen caecum of the tongue to the final pre-tracheal position of the gland. A few cases of ectopic thyroid tissue have also been reported from sites seemingly unrelated to the normal development of the thyroid gland.  We report a case of ectopic thyroid in the external ear canal, which presented as a small reddish mass in the external ear canal. To the best of our knowledge, this is the first such reported case in literature and adds to the body of knowledge in such cases. Although such a finding is exceedingly rare, the authors recommend routine histopathology in all cases of polyps in the external canal and standard investigation for the status of the residual thyroid gland via isotope scans, ultrasonography or thyroid function tests.</p>

scholarly journals Equine Carcinoma Hemithyroidectomy

2021 ◽  
Vol 49 ◽  
Author(s):  
Alessandra Mayer Coelho ◽  
Brenda Valeria dos Santos Oliveira ◽  
Diana Villa Verde Salazar ◽  
Karin Elisabeth Rodrigues Borba ◽  
Lais Maria Gomes ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Gain ◽  
Thyroid Gland ◽  
Thyroid Carcinoma ◽  
Ultrasound Examination ◽  
Histopathological Examination ◽  
Thyroid Tissue ◽  
Parathyroid Glands ◽  
Common Finding ◽  
Significant Weight Loss

Background: In horses, the thyroid gland is located slightly caudal to the larynx and dorsolaterally between the third and sixth tracheal ring, adjacent to the thyroid, there are four small glands called parathyroid glands. In the clinical routine of horses, thyropathies are difficult to be diagnosed, as they have a silent evolution. Thyroid neoplasia is the most common finding in horses, usually unilateral and normally present in older animals. The present study reports a case of equine thyroid carcinoma and its systemic clinical effects, which was successfully treated by means of hemitieroidectomy. Case: A 12-year-old male mixed breed horse weighing 436 kg, was admitted to the Veterinary Medical Teaching Hospital of the FZEA/USP    with the main complaint of volume increase in the right ventrolateral region of the neck, difficulty in swallowing, significant weight loss and weakness of the pelvic limbs. On inspection, there was an increase in volume in the topographic region of the thyroid gland and on palpation, there was a firm mass, with delimited edges, with a smooth, mobile surface, without increasing the temperature and without pain. The animal was sent for ultrasound examination, which revealed a delimited mass, with an apparent capsule around it, differentiated and disorganized cellularity with small hypoechoic points of liquid inside the structure, with no apparent vascularization inside the mass. These findings, associated with the anatomical location of the mass, were consistent with thyroid tissue. The clinical signs commonly observed in thyroid neoformations are respiratory stridor, decreased performance, difficulty in swallowing and suffocation. As there was a compromised diet and weight gain, as well as athletic performance, he chose to have a hemithyroidectomy. After surgery, histopathology of the tissue was performed and thyroid carcinoma was diagnosed. Postoperatively, the animal was medicated with antibiotics, anti-inflammatory and anti-tetanus serum, after 10 days the stitches were removed and the animal was discharged. Discussion: Neoplasia is the most frequent cause of progressive thyroid growth and in case of suspicion of thyroid disorders, thin needle aspiration (FNAB) is recommended and, later, histopathological examination, which is considered the gold standard for diagnosis pathologies of the thyroid gland. In the present case, no FNAB or preoperative histopathological examination was performed due to the time required to obtain the result, associated with difficulty in swallowing and significant weight loss, which required immediate removal of the mass. Considering that the ultrasound examination revealed the absence of noble structures or important vascularization very close to or adhered to the mass, its removal prior to the histopathological examination was indicated. As there was compromised feeding and weight gain, he opted for hemithyroidectomy, the recommended treatment for unilateral tumors in horses. When performing a hemithyroidectomy, it should be remembered that the parathyroid glands accompany the thyroid and are located in its posterior portion, in the pre tracheal region, with its variable final position. With this variation in topography, the identification of parathyroid glands becomes challenging and, consequently, after thyroidectomy, a portion of parathyroid glands stops operating, and this fact is marked clinically by hypocalcemia and its consequences. In this case described, in which the animal had a tumor in thyroid tissue, possibly the parathyroid functions were also altered, which probably reflected in the lameness in the pelvic limbs. It is concluded that partial hemithyroidectomy in horses is an easy procedure to perform and has favorable results in relation to prognosis and quality of life. Keywords: carcinoma, hemithyroidectomy, thyroid. Título: Hemitireoidectomia por carcinoma em equinoDescritores: carcinoma, hemitireoidectomia, tireóide. 

The Thyroid Gland: Physiology and Pathophysiology

2000 ◽  
Vol 19 (8) ◽  
pp. 11-26 ◽  
Author(s):  
Denise Kirsten
Keyword(s):  
Thyroid Gland ◽  
Thyroid Hormones ◽  
Laboratory Tests ◽  
Clinical Manifestations ◽  
Thyroid Stimulating Hormone ◽  
The Body ◽  
Premature Delivery ◽  
Follicular Cells ◽  
Metabolic Hormones ◽  
Radiologic Findings

The thyroid gland contains many follicular cells that store the thyroid hormones within the thyroglobulin molecule until they are needed by the body. The thyroid hormones, often referred to as the major metabolic hormones, affect virtually every cell in the body. Synthesis and secretion of the thyroid hormones depend on the presence of iodine and tyrosine as well as maturation of the hypothalamic-pituitary-thyroid system. Interruption of this development, as occurs with premature delivery, results in inadequate production of thyroid-stimulating hormone and thyroxine, leading to a variety of physiologic conditions. Pathologic conditions occur in the presence of insufficient thyroid production or a defect in the thyroid gland. Laboratory tests are important in diagnosing conditions of the thyroid gland. A thorough history in combination with clinical manifestations and radiologic findings are also useful in diagnosing specific thyroid conditions. Nurses play an important role in identifying and managing thyroid disorders and in providing supportive care to infants and their families.

Interaction of adrenals and thyroid in maintenance of body temperature of rats exposed to cold

1960 ◽  
Vol 199 (3) ◽  
pp. 437-444 ◽  
Author(s):  
Melvin J. Fregly
Keyword(s):  
Body Temperature ◽  
Thyroid Gland ◽  
Cooling Rate ◽  
Thyroid Stimulating Hormone ◽  
Cortisone Acetate ◽  
Simultaneous Administration ◽  
Naturally Occurring ◽  
Effective Administration ◽  
Adrenalectomized Rats ◽  
Stimulating Hormone

The effects of cortisone acetate and thyroxine, administered separately or in combination, on colonic cooling rate (CCR) have been studied in restrained, adrenalectomized rats subjected to air at 5°C. Thyroxine alone at 5.0 µg/day reduced the rapid CCR of adrenalectomized rats but failed to return it to that of sham-operated rats. Cortisone acetate alone at 1.0 mg/day reduced CCR but also failed to restore it to normal. A higher dose (2.0 mg/day) was even less effective. Administration of 5.0 µg/day thyroxine simultaneously with 2.0–2.5 mg cortisone acetate returned CCR to that of sham-operated rats. Simultaneous administration of cortisone acetate with graded doses of thyroid stimulating hormone (TSH) to adrenalectomized rats resulted in greater reduction of CCR than with either treatment alone. Cortisone acetate did not appear to interfere either with tissue utilization of thyroxine or with thyroid gland response to TSH administration. The cooling test has also proved a useful tool for comparing potencies of a synthetic (dexamethasone) and a naturally occurring steroid (progesterone) with that of cortisone acetate. Dexamethasone is estimated to have a potency 700 times that of cortisone acetate, while progesterone is only one-third as potent.

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