Optimal management of Graves’ orbitopathy in children

Chen Min; Xu Shuhang; Chen Guofang; Liu Chao

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Optimal management of Graves’ orbitopathy in children

更新时间：2023-12-22

- Optimal management of Graves’ orbitopathy in children
- Journal of Chongqing Medical University Vol. 43, Issue 12, Pages: 1562(2018)
- 作者机构：
  
  1. 无锡市工人太湖疗养院,无锡,214000
  2. 南京中医药大学附属中西医结合医院内分泌科、国家瘿病证治重点研究室,南京,210028
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2018，
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Chen Min, Xu Shuhang, Chen Guofang, et al. Optimal management of Graves’ orbitopathy in children. [J]. Journal of Chongqing Medical University 43(12):1562(2018)
DOI：

Chen Min, Xu Shuhang, Chen Guofang, et al. Optimal management of Graves’ orbitopathy in children. [J]. Journal of Chongqing Medical University 43(12):1562(2018) DOI：

摘要

儿童格雷夫斯眼病（Graves’ orbitopathy，GO）的患病率低于成人，吸烟率低可能是主要原因。儿童GO的临床表现亦明显较轻，多为轻度的软组织受累、眼睑挛缩和眼球突出。由于控制格雷夫斯病、适当支持治疗可显著改善GO，故儿童GO的治疗大多选择随访观察策略。如效果不佳，可采用糖皮质激素治疗，严重威胁视力时可尽快行眼科手术。眼科与内分泌科应加强合作，关注儿童GO患者的生活质量和身心发育。

Abstract

The prevalence rate of Graves’ orbitopathy（GO） in children is lower than that in adults，which may be attributed to a low smoking rate. GO in children tends to have mild clinical manifestations，mainly mild soft tissue involvement，eyelid contracture，and exophthalmos. Since the control of GO and supportive treatment can significantly improve GO，the strategy of follow-up observation is mainly used for the treatment of GO in children. In case of poor response，glucocorticoids can be used for treatment，and ophthalmic surgery should be performed as soon as possible when GO threatens eyesight. Ophthalmologists should cooperate with endocrinologists to improve the quality of life and physical and mental development in children with GO.

关键词

格雷夫斯病格雷夫斯眼病儿童

Keywords

Graves’ diseaseGraves’ orbitopathychild

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