Speech language pathology disorders in children with congenital hypothyroidism: critic review of literature
Alterações fonoaudiológicas em crianças com hipotireoidismo congênito: revisão crítica da literatura
Monica Barby Muñoz; Ana Paula Dassie-Leite; Mara Behlau; Luiz de Lacerda Filho; Rogério Hamerschmidt; Suzana Nesi-França
Abstract
Congenital Hypothyroidism (CH) is the most common congenital endocrine disorder in childhood which corresponds to a deficiency of thyroid hormones. This article aimed to do a literature review about the Speech Language Pathology disorders that might be associated to HC. The keywords used for searching the electronic databases PUBMED and MEDLINE were: congenital hypothyroidism OR hypothyroidism AND hearing OR voice OR language. It was included studies published up to July 2011. Two researchers did the analyses, independently, with further discussion and consensus about the inclusion. Out of the 324 studies found in the preliminary analysis, only 20 of them were included in the final sample after establishing the criteria for inclusion. We observed that a great number of articles on the children language development on CH, but controversial ones, when it comes to the results of the evaluations. In Audiology, there has been a reduction in the number of articles that describe hearing loss in children who had CH. Only two papers were found about the voice, which referred exclusively to crying abnormalities in babies affected by CH. Although some findings were proven relevant to the subject, the great variability of the research methodology does not allow us to have a clear conclusion on the probable speech language pathology disorders in children with congenital hypothyroidism.
Keywords
Resumo
O Hipotireoidismo Congênito (HC) é a doença endócrina congênita mais comum na infância e corresponde à deficiência de hormônios tireoidianos. Este artigo teve o objetivo de realizar uma revisão crítica da literatura, a respeito das possíveis alterações fonoaudiológicas relacionadas ao HC. Os descritores utilizados para a busca nas bases de dados eletrônicas PUBMED e MEDLINE foram: hypothyroidism OR congenital hypothyroidism AND voice OR hearing OR language. Foram incluídos estudos publicados até julho de 2011. As análises foram realizadas independentemente por dois dos pesquisadores, com posterior discussão e consenso sobre a inclusão. Dos 324 estudos localizados na análise inicial, apenas 20 compuseram a amostra final após o estabelecimento dos critérios de inclusão. Observou-se que há um número considerável de artigos sobre a linguagem de crianças com HC, embora com controvérsias no que se refere aos resultados das avaliações. Quanto à Audiologia, nos últimos anos houve uma redução no número de artigos que descrevem alterações auditivas em crianças com HC. Na área de Voz, foram localizados apenas dois artigos, que se referiram exclusivamente às anormalidades observadas no choro de bebês com HC. Embora com algumas constatações relevantes a respeito do assunto, a grande variabilidade metodológica das pesquisas não permite que se tenha uma conclusão clara sobre as possíveis alterações fonoaudiológicas em crianças portadoras de hipotireoidismo congênito na atualidade.
Palavras-chave
Referencias
1. Fisher D A. Disorders of the thyroid in the newborn and infant. In: Sperling M A. Pediatric Endocrinology. 3ª.ed. Philadelphia: W.B. Saunders; 2008. p. 198-226.
2. American Academy of Pediatrics/American Thyroid Association. Lawson Wilkins Pediatric Endocrine Society. Update of newborn screening and therapy for congenital hypothyroidism. Pediatrics. 2006;117(6):2290-303.
3. Lazarus JH. Congenital hypothyroidism. Arch Dis Child. 2005;90:112-3.
4. Working Group on Neonatal Screening of the European Society for Pediatric Endocrinology. Revised guidelines for neonatal screening programs for congenital hypothyroidism. Horam Res.Basel.1999;52:49-52.
5. Maciel LMZ, Kimura ET, Nogueira CR, Mazeto GM, Magalhães PKR, Nascimento ML et al. Hipotireoidismo congênito: recomendações do Departamento de Tireoide da Sociedade Brasileira de Endocrinologia e Metabologia. Arq Bras Endocrinol Metab. 2013;57(3):188-92.
6. Pezzuti IL, Lima PP, Dias VMA. Hipotireoidismo congênito: perfil clínico dos recém-nascidos identificados pelo Programa de Triagem Neonatal de Minas Gerais. J Pediatr. 2009;85(1):72-9.
7. Cox RM. Waiting for evidence-based practice for you hearing aid fittings? It's here. The Hearing Journal. 2004;57(8):10-7.
8. Meyerhoff WL. The thyroid and audition. Laryngoscope.1976;86(4):483-9.
9. Debruyne F, Vanderschueren-Lodeweyckx M, Bastijns P. Hearing in congenital hypothyroidism. Audiology. 1983;22(4):404-9.
10. François M, Bonfils P, Leger J, Avan P, Czernichow P, Narcy P. Audiological assessment of eleven congenital hypothyroid infants before and after treatment. ActaOtolaryngol. 1993;113(1):39-42.
11. François M Bonfils P, Leger J, Czernichow P, Narcy P. Role of congenital hypothyroidism in hearing loss in children. J Pediatr. 1994;124(3):444-6.
12. Bellman SC, Davies A, Fuggle, PW, Grant, DB, Smith I. Mild impairment of neuro-otological function in early treated congenital hypothyroidism. Arch Dis Child. 1996;74(3):215-8.
13. Rovet J, Walker W, Bliss B, Buchanan L, Ehrlich R. Long-term sequelae of hearing impairment in congenital hypothyroidism. J Pediatr. 1996;128(6):776-83.
14. Parazzini M, Ravazzani P, Medaglini S, Weber G, Fornara C, Tognla G et al. Click-evoked otoacoustic emissions recorded from untreated congenital hypothyroid newborns. Hear Res. 2002;166(1-2):136-42.
15. ASHA: American Speech and Hearing Association [Internet].(Central) auditory processing disorders, 1997-2008. Available at http://www.asha.org/members/deskref-journals/deskref/default. 2005.
16. Fuggle PW, Grant DB, Smith I, Murphy G. Intelligence, motor skills and behavior at 5 years in early-treated congenital hypothyroidism. Eur J Pediatr. 1991;150(8):570-4.
17. Rovet JF, Ehrlich RM, Sorbara DL. Neurodevelopment in infants and preschool children with congenital hypothyroidism: etiological and treatment factors affecting outcome. JPediatrPsychology. 1992;17(2):187-213.
18. Kooistra L, Laane C, Vulsma T, Schellekens JM, Van Der Meere JJ, Kalverboer AF Motor and cognitive development in children with congenital hypothyroidism: a long-term evaluation of the effects of neonatal treatment. J Pediatr. 1994;124(6):903-9.
19. Simons WF, Fuggle PW, Grant DB, Smith I. Educational progress, behavior, and motor skills at 10 years in early treated congenital hypothyroidism. Arch Disease in Childhood. 1997;77:219-22.
20. Bargagna S, Chiovato L, Dinetti D, Montanelli L, Giachetti C, Romalini E, Marcheschi M, Pinchera A. Neuropsychological development in a child with early-treated congenital hypothyroidism as compared with her unaffected identical twin. Eur J Endocrinol. 1997;136(1):100-4.
21. Rovet JF. Long-term neuropsychological sequelae of early-treated congenital hypothyroidism: effects in adolescence. ActaPediatr Suppl. 1999 88(432):88-95.
22. Bargagna S, Dinetti D, Pinchera A, Marcheschi M, Montanelli L, Presciuttini S et al. School attainments in children with congenital hypothyroidism detected by neonatal screening and treated early in life. Eur J Endocrinol. 1999;140(5):407-13.
23. Bargagna S, Canepa G, Costagli C, Dinetti D, Marcheschi M, Millepiedi S et al. Neuropsychological Follow-up in Early-Treated Congenital Hypothyroidism: a problem-oriented approach. Thyroid. 2000;10(3):243-9.
24. Alvarez M, Carvajal F, Renón A Pérez C, Olivares A, Rodríguez G et al. Deferential effect of fetal, neonatal and treatment variable on neurodevelopment in infants with congenital hypothyroidism. Horm Res. 2004;61:17-20.
25. Gejão MG, Lamônica DAC. Habilidades do desenvolvimento em crianças com hipotireoidismo congênito: enfoque na comunicação. Pró-Fono R Atual Cient. 2008;20(1):25-30.
26. Gejão MG, Ferreira, AT, Silva GC, Anastácio-Pessan, Lamônica D. Comunicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism. J Appl Oral Sci. 2009;17(sp. Issue):69-75.
27. Michelsson K, Sirvio P. Cry analysis in congenital hypothyroidism. Folia Phoniatrica. 1976;28(1):40-7.
28. Boero D, Weber G, Vigone MC, Lenti C. Crying abnormalities in Congenital Hypothyroidism: Preliminary Spectrographic Study. J Child Neurology. 2000;15(9):603-8.
29. Klein RZ, Mitchell ML. Hypothyroidism in infants and children In: Braverman, LE, Utiger RD. The Thyroid: a fundamental and chinical text. 8 ed. Philadelphia: Ed. Lippincott Williams e Wilkins, 2000. P. 973-88.
30. Brasil. Ministério da Saúde. Portaria GM/MS n. 822/GM, de 6 de junho de 2001. Disponível em: HTTP://dtr2001.saude.gov.br/sas/sas02/sasjun02.htm. Acesso em 05 out. 2012.
Submitted date:
11/07/2013
Accepted date:
28/01/2014
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