Congenital Hypothyroidism

  • Hisworo Multialam Department of Child Health, Universitas Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Robert M. Simandjuntak Department of Child Health, Universitas Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Endang D. Hamid Department of Child Health, Universitas Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
Keywords: congenital hypothyroidism; umbilical hernia; inguinal hernia; L-Thyroxine

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

1. Rukman Y. Hipotiroidisme kongenital. Buku Ajar Ilmu Kesehatan Anak FK-UI. 1991:360-1.
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.
Published
2018-11-05
How to Cite
1.
Multialam H, Simandjuntak R, Hamid E. Congenital Hypothyroidism. PI [Internet]. 5Nov.2018 [cited 31Oct.2024];34(5-6):170-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2027
Section
Case Report
Received 2018-11-05
Published 2018-11-05