Retrospective Study
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World J Clin Cases. Feb 6, 2022; 10(4): 1190-1197
Published online Feb 6, 2022. doi: 10.12998/wjcc.v10.i4.1190
Clinical effect of methimazole combined with selenium in the treatment of toxic diffuse goiter in children
Xiao-Hong Zhang, Gao-Pin Yuan, Ting-Li Chen
Xiao-Hong Zhang, Gao-Pin Yuan, Ting-Li Chen, Department of Pediatric Endocrinology, Quanzhou Women and Children’s Hospital, Quanzhou 362000, Fujian Province, China
Author contributions: Zhang XH, Yuan GP, and Chen TL designed and performed the study; Zhang XH, Yuan GP, and Chen TL analyzed the data; all authors contributed to the writing and revising of the manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of the Quanzhou Maternal and Child Hospital.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: No conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Hong Zhang, MD, Doctor, Department of Pediatric Endocrinology, Quanzhou Women and Children’s Hospital, No. 700 Fengze Street, Quanzhou 362000, Fujian Province, China. zhangxiaohong2109@163.com
Received: October 22, 2021
Peer-review started: October 22, 2021
First decision: November 17, 2021
Revised: December 1, 2021
Accepted: December 22, 2021
Article in press: December 22, 2021
Published online: February 6, 2022
ARTICLE HIGHLIGHTS
Research background

Thyroglobulin antibody is a common antibody in the serum of children with autoimmune thyroid disease. Anti-thyroid peroxidase antibody (TPOAb) is an indicator closely related to thyroid immune damage.

Research motivation

This study explored the therapeutic effects of the two methods, and to detect the changes in serum anti-thyroglobulin antibody (TRAb) and TPOAb levels of the two groups of children before and after treatment.

Research objectives

This study aimed to explore the clinical efficacy of methimazole combined with selenium in the treatment of toxic diffuse goiter (Graves’ disease) in children.

Research methods

In this study, 103 children with Graves’ disease treated in our hospital were selected and divided into traditional group and combination group according to the treatment method.

Research results

The levels of interleukin (IL)-6, IL-8, TRAb, TPOAb and free thyroxine were significantly lower in the combined group than in the traditional group.

Research conclusions

The clinical efficacy of combined therapy provides a solid theoretical basis for Graves’ clinical diagnosis and treatment.

Research perspectives

This regimen warrants further clinical research.