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ORIGINAL ARTICLE
Korean J Pediatr 2010 April;53(4) :585-591.
doi:https://doi.org/10.3345/kjp.2010.53.4.585
The natural history and prognostic factors of Graves' disease in Korean children and adolescents
Seung Min Song (Song SM)1, Ji-Seok Youn (Youn JS)1, Jung Min Ko (Ko JM)2, Chong Kun Cheon (Cheon CK)3, Jin-Ho Choi (Choi JH)1, Han Wook Yoo (Yoo HW)1
1Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
2Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea
3Department of Pediatrics, College of Medicine, Pusan National University, Busan, Korea
Corresponding Author: Han Wook Yoo ,Email: hwyoo@amc.seoul.kr
Copyright © 2010 by The Korean Pediatric Society
ABSTRACT
Purpose : Graves' disease is the most common cause of hyperthyroidism in children and adolescents. In this study, we investigated the natural course and the prognostic factors of Graves' disease in Korean children and adolescents. Methods : One-hundred thirteen (88 girls and 25 boys) patients were included in this study. A retrospective analysis was made of all patients who were diagnosed with Graves' disease. The following parameters were recorded and analyzed: patient's sex, age at diagnosis, duration of disease, laboratory findings, symptoms and signs, and family history of autoimmune thyroid disease. Results : All patients were initially treated with antithyroid drugs, either methimazole (93.8%) or propylthiouracil (6.2%). Antithyroid drugs had been discontinued in 75 (66.4%) of 113 patients. Of these 75 patients, 23 (20.4%) relapsed after 25.533.7 months. Thirteen (11.5%) of 23 patients, who experienced the first relapse, showed a second remission. However, 2 (1.8%) of 13 patients relapsed again. Euthyroid state could not be achieved by antithyroid drugs in 1 patient, and radioactive iodine therapy was performed. The older the patient at diagnosis, the greater the likelihood of remission (P =0.034). Conclusion : Age at diagnosis seems to be a prognostic factor in Korean children and adolescents with Graves' disease, and should be taken into account in treatment plan determination.
Keywords: Graves' disease | Natural course | Prognostic factor
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