Thyroid hormone assessment in children with Down syndrome

The presentation above is on thyroid hormone assessment in children with Down syndrome.

Why is thyroid testing so important in individuals with Down syndrome?

Thyroid hormone is necessary for general growth and health of the human body, not just in individuals with Down syndrome, but in all individuals. There are two ways in which the critical balance of thyroid hormone levels may shift in the body. Either our body starts making too much thyroid hormone (hyperthyroidism) or too little thyroid hormone (Hypothyroidism). This increase or decrease of hormone levels can have a major impact on many functions in the body.

Scientific research has provided enough evidence to show that children with Down syndrome are more prone to lower levels of thyroid hormone in the body. However, please bear in mind that this refers to a link between Down syndrome and susceptibility to hypothyroidism. All children with Down syndrome are not necessarily born with it, but suggests the possibility of increased risk of developing hypothyroidism at some point during the life of the child. It is thus suggested that regular monitoring of thyroid hormone levels be done at birth, and every 6 months thereafter till the child reaches the age of 4 years. After the age of 4, the child may be monitored for thyroid fluctuations once every 6 – 12 months. 

Whom to approach with thyroid-related concerns?

Thyroid measurement can be done through a simple blood test, and the results can be assessed by an experienced Pediatrician. However, it is ideal to see an Endocrinologist (a doctor who specializes in treating hormone-related disorders) once in 1 to 2 years to monitor thyroid function on a long term basis.

Once a diagnosis of Hypothyroidism has been made, the condition can be very effectively managed by doctor prescribed administration of thyroid hormone tablets, that will restore thyroid hormone levels and help bring the body’s health & growth back to normal.

To understand more about the thyroid hormone assessment in children with Down syndrome please refer to the attached presentation which outlines thyroid monitoring guidelines for families.

Special credits: The majority of the content above has been adapted from Endocrinologist Dr Jayashree Gopal’s presentation at IIDSC held in 2017, organised by  DSFI, Thanks to consultant Pediatrician, Dr.Nina Piyush Vaidya (M.B D.Ped, PGDGC) who has offered expert guidance in consolidating this information. We would also extend our thanks to Pediatric Endocrinologist Dr Leenatha Jakkidi for addressing subsequent queries that have been amended to the existing resource above.

You may download this infographic and presentation that highlights the most common health challenges that individuals with Downs syndrome are more prone to than others.

If you have questions about Autism, Down Syndrome, ADHD, or other intellectual disabilities, or have concerns about developmental delays in a child, the Nayi Disha team is here to help. For any questions or queries, please contact our FREE Helpline at 844-844-8996. You can call or what’s app us.

DISCLAIMER: Please note that this guide is for information purposes only. Please consult a qualified medical professional for condition management.