Congenital Hypothyroidism
Abstract
We report a case of congenital hypothyroidism seen at the Division of Endocrinology, Medical School, University of North Sumatera/Dr. Pirngadi Hospital. A 13-month ols Batak girl presented witih signs and symptoms of congenital hypothyroidism. On physical examination, umbilical and inguinal hernias were present. Treatment with L -Thyroxme using initial dose 45/µg/day for one month was initiated and after two months the signs and symptoms disappeared. Laboratory finding showed normal T4, but T3 was slightly low. Radiological examination was done to evaluate the bone age. The treatment was continued using the follow-up dose of L-Thyroxine 45µg. Although the treatment has resulted in good outcome, evaluations for the child's growth and development should be continued.
References
2. Tuchinda C. Thyroid disorders in children and adolescent An ovenriew. J Pediatr ObstetGynaec 1988:9-14.
3. Digeorge AM. Congenital hypothyroidism. ln: Nelson textbook of pediatrics, 14th ed. Saunders Company, 1992: 1417-20.
4. Arif ID, Ongkie AS. Congenital hypothyroidism. Report of two cases with emphas is on clinical diagnosis and brief review of relevant literature. Pediatr Indones 1984; 24:110-5.
5. Klien RZ et al. Elementary school performance of children with congenital hypothyroidism. J Pediatr 1990: 27-32.
6. Staf Pengajar Ilmu Kesehatan Anak: Hipotiroidisme. Kuliah llmu Kesehatan Anak. Ed. IV hal. 266-8. Bagian Ilmu Kesehatan Anak FK-UI, Jakarta 1985.
7. Rostini Yusuf. Hipotiroid Juvenil. MKN vol ·XXI, no.2 Juni 1991: 79-94.
8. Caffey J. The Bones. Pediatrics X-ray Diagnosis 6th ed. 1973: 837-94.
9. Sutan Assin M. Mental re1Brdation due to congenital hypothyroidism and its prevention. Paediatr Indones 1984; 24:55-63.
10.Aronson A, Ehrlich RM, Bailey JD, Rovet JF. Growth in children with congenital hypothyroidism detected by neonatal screening. J Pediatr 1990: 33-7.
11. Stockigt JR Hypothyroidism. Important factors in management Medical Progress. September 1989; 33-9.
Copyright (c) 2018 Hisworo Multialam, Robert M. Simandjuntak, Endang D. Hamid
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Published 2018-11-05