Korean J Pediatr.  2010 Apr;53(4):585-591. 10.3345/kjp.2010.53.4.585.

The natural history and prognostic factors of Graves' disease in Korean children and adolescents

• Song SM
• Youn JS
• Ko JM
• Cheon CK
• Choi JH
• Yoo HW

• KMID: 2073587
• DOI: http://doi.org/10.3345/kjp.2010.53.4.585

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 25.5+/-33.7 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.

Keyword

Graves' disease; Natural course; Prognostic factor

MeSH Terms

Adolescent
Antithyroid Agents
Child
Graves Disease
Humans
Hyperthyroidism
Iodine
Methimazole
Natural History
Propylthiouracil
Recurrence
Retrospective Studies
Thyroid Diseases
Antithyroid Agents
Iodine
Methimazole
Propylthiouracil