Treatment for childhood hypothyroidism is with
T4
T3
Levothyroxine
TSH
Levothyroxine is used for the treatment of childhood hypothyroidism.In case of congenital hypothyroidism,treatment should be staed immediately after diagnosis.The initiation dose is 10-15 microgram/kg/day.T4 & TSH are expected to normalise over one week and one month,respectively,with this treatment.Lifelong thyroid replacement is required for most cases. In acquired hypothyroidism,treatment should be gradual.A dose of 100 microgram/m2/day is recommended.Levothyroxine should be given empty stomach in the morning.Followup should be done every 3 months during the first 2 years of therapy and six monthly thereafter.Most children require lifelong therapy. Reference:Essential pediatrics-Ghai,8th edition,page no:517,518.
Childhood tumors