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Goiter, Pediatric

Melissa Schoelwer, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

A goiter is an enlarged thyroid gland (also known as thyromegaly). A simple or colloid goiter is one that is not associated with thyroid dysfunction, autoimmune thyroid disease, or a...

DIAGNOSIS

HISTORY

  • Signs/symptoms of hypothyroidism:

    • Decreased linear growth

    • Weight gain

    • Fatigue

    • Constipation

    • Cold intolerance

    • Dry skin and/or hair

    • Hair loss

    • Irregular menses

  • Signs/symptoms of hyperthyroidism:

    • We...

TREATMENT

MEDICATION

  • First line for a goiter due to autoimmune hypothyroidism:

    • Levothyroxine (weight-based dosing is dependent on the age of the patient)

      • Interactions: Soy and iron affect absorption.

      • Shou...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Children with newly diagnosed Hashimoto thyroiditis who have a TSH >100 and children with newly diagnosed Graves disease should urgently be evaluated by a pedi...

ADDITIONAL READING

  • Francis G, Waguespack S, Bauer A, et al. Management guidelines for children with thyroid nodules and differentiated thyroid cancer. Thyroid.  2015;25(7):716–759. [View Abstract...

CODES

ICD9

  • 240.9 Goiter, unspecified

  • 241.1 Nontoxic multinodular goiter

  • 245.2 Chronic lymphocytic thyroiditis

  • 246.1 Dyshormonogenic goiter

  • 242.00 Toxic diffuse goiter without mention of thyrotoxic crisis o...

FAQ

  • Q: Do all goiters cause thyroid dysfunction?

  • A: Goiters can be euthyroid, hypothyroid, or hyperthyroid, depending on the cause.

  • Q: Will the goiter decrease in size with treatment?

  • A: This depends on ...

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