Literature DB >> 17452230

Low cortical bone density measured by computed tomography in children and adolescents with untreated hyperthyroidism.

Nawaporn Numbenjapon1, Gertrude Costin, Vicente Gilsanz, Pisit Pitukcheewanont.   

Abstract

OBJECTIVE: To determine whether increased thyroid hormones levels have an effect on various bone components (cortical vs cancellous bone). STUDY
DESIGN: The anthropometric and 3-dimensional quantitative computed tomography (CT) bone measurements, including bone density (BD), cross-sectional area (CSA) of the lumbar spine and femur, and cortical bone area (CBA) of the femur, of 18 children and adolescents with untreated hyperthyroidism were reviewed and compared with those of age-, sex-, and ethnicity-matched historical controls.
RESULTS: No significant differences in height, weight, body mass index (BMI), or pubertal staging between patients and controls were found. Cortical BD was significantly lower (P < .001) in children and adolescents with hyperthyroidism compared with historical controls. After adjusting for weight and height, no difference in femur CSA between hyperthyroid children and historical controls was evident. No significant correlations among thyroid hormone levels, antithyroid antibody levels, and cortical BD values were found.
CONCLUSIONS: As determined by CT, cortical bone is the preferential site of bone loss in children and adolescents with untreated hyperthyroidism.

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Mesh:

Year:  2007        PMID: 17452230     DOI: 10.1016/j.jpeds.2007.01.045

Source DB:  PubMed          Journal:  J Pediatr        ISSN: 0022-3476            Impact factor:   4.406


  7 in total

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  7 in total

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