ESPE2023 Poster Category 2 Thyroid (13 abstracts)
What is the risk on intelligence in children with dysthyroiidism ?
Asma Marzouk 1,2 , Amina Braeik 1 , Nahed Ben Hssine 3 , Mariem Laajili 2,4 , Ahlem Kefi 1 , rahma Thebti 1 , oumaima Mzoughi 1 , Sarra Ben Hssine 1 , farida Friha 1 & Asma Bouaziz 1
1Ben Arous Pediatrics and Neonatology Department, Ben Arous, Tunisia. 2El Manar university Faculty of medicine of tunis, Tunis, Tunisia. 3speech therapy service, Ben Arous, Tunisia. 4Respiratory functional exploration and sleep pathologies in children, Robert Debré, Paris, France
Introduction:Thyroid hormones are essential for early neurocognitive development as well as growth and development throughout childhood. The intelligence of children with dysthyroidism has been little evaluated.
Objective:Assessing of the intelligence in children with dysthyroidism.
Patients and methods: Descriptive prospective study carried out by applying the IQ in 26 patients aged more than 2 years and followed for dysthyroidism in the pediatric and neonatology department of Ben Arous (Tunisia).
Results:The average age of discovery of the disease was 3 years. The sex ratio was 0.8. The thyroid abnormalities collected were: Subclinical hypothyroidism (SH) (76%), hypothyroidism (15%), hyperthyroidism (7%). 45% of HS were not treated. The other abnormalities were treated within <3 months (82%). Therapeutic compliance was poor in 44% of cases. The IQ assessment objectified: IQ<70% (33%), 70<IQ<105% (66%); QI>115%(0). Patients with low intelligence had: late start of treatment (50%); poor treatment compliance (66%); other associated pathologies (33%). All patients with untreated HS had an IQ >70%.
Conclusion:The delay in starting treatment, therapeutic compliance and the association with damage to the central nervous system represent the main factors influencing intelligence in dysthyroid children.
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