PMID: 9185360Jan 1, 1997Paper

Recommended normative values for thyroid volume in children aged 6-15 years. World Health Organization & International Council for Control of Iodine Deficiency Disorders

Bulletin of the World Health Organization

Abstract

Inspection and palpation are the traditional methods used to determine thyroid volume in areas of moderate-to-severe iodine deficiency. However, in areas of mild endemicity, and generally whenever goitres are small, ultrasonography is a safe, noninvasive technique that provides a more precise and objective method for determining thyroid volume. Ultrasonography should be undertaken by well-trained operators, whose correct interpretation relies on the availability of standardized reference criteria from populations whose iodine status is known to be adequate. A recent survey conducted among schoolchildren aged 6-15 years in 12 European countries provides ultrasound data for determining thyroid volume from 7599 subjects, and urinary iodine levels from 5709 subjects. A subgroup of 3474 children born and living in areas where iodine intake is normal-as evidenced by median urinary iodine above 100 micrograms/l-furnishes data from which to derive thyroid volume reference values. This article presents the upper normal limit for thyroid volume, according to age, for the iodine-replete boys and girls in this subgroup, assessed using ultrasonography. In countries with a high prevalence of child growth retardation, thyroid volume is provis...Continue Reading

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