Hypothyroidism in Children with Chronic Kidney Disease: An Observational Study
摘要
An observational hospital-based study included 50 children aged 1–18 years with chronic kidney disease (CKD) to ascertain the prevalence of hypothyroidism. Out of 50 enrolled cases 13 had hypothyroidism (serum free thyroxine < 0.93 ng/dL and thyroid stimulating hormone > 5.2 mIU/L). The incidence of hypothyroidism was 23% (3/13) in CKD stage 2/3, 27% (10/37) in CKD stage ≥ 4. Hypothyroidism was present in 20% patients having spot urinary protein to creatinine ratio (UP:UC) between 0.2 and < 2, and 39.1% with UP:UC > 2. Hypothyroidism was more common in children with advanced CKD and those with greater proteinuria. No child had detectable thyroid peroxidase antibodies.