Recently, we experienced a case of congenital hypothyroidism in 3month-old girl, who came with chief complaints of prolonged jaundice for 2 months after birth. After admission, she was diagnosed congenital hypothyroidism by the laboratory tests, including biochemistry, radioimmunoassay, radioisotope study, and bony radiography, and since then treated with sodium-L-thyroxine orally. The case was presented with brief review of literatures. |
A retrospective study on patients with congenital hypothyroidism was undertaken. The following results were obtained from 17 patients, on whom follow up investigations were available. 1) Males outnumbered females. The etiologic classification revealed: thyroid agenesis (64.7%), dyshormonogenesis (23.5%), and ectopic thyroid (11.8%). 2) In two-thirds of cases the diagnosis were made under 1 year of age, with 23.5% of cases being diagnoses below 3 month and 41.2%... |
Sexual precocity in assocition with congenital hypothyroidism is a rare clinical entity. We experi- enced a case of sexual precocity, such as vaginal bleeding, breast development in a patient with congenital hypothyroidism' We present with the brief review of related literature. |
The authors experienced two cases of goitrous hypothyroidism in siblings. The etiology was considered to be defect of iodide organification in steps of thyroxine synthesis. The diagnosis was made on the basis of history, clinical features, thyroid function test, thyroid scanning, ultrasonogram and perchlorate discharge test. We report these cases with a review of related literatres. |
Congenital hypothyroidism due to a variety of defects in the biosynthesis of thyroid hormone is detected in 1/30,000-50,000 live births. In the iodide organification defect which is one of defect in the biosynthesis of thyroid hormone, iodide is not organified and may be rapidly discharged from the thyroid by administration of perchlorate. We experienced two siblings who had short stature, goiter, mental retardation, constipation and other... |
Congenital hypothyroidism is one of the most common endocrine disease in childhood and is a major cause of mental retardation. It is clear that the earlier treatment is started, the better intellec- tual potential and the likely absence of neurological sequellae. The present study was carried out to try to define the incidence and the nature of the neurologic disorders and to examine the... |
In 110 term neonates without perinatal problems who were bom in SNUH, blood TSH levels were measured by TSH screening test for congenital hypothyroidism. The results are as follows 1) Normal TSH level was 14.8±7.8 µU/ml, 8.8±4.7 µU/ml, and 6.5±2.7 µU/ml in neonates of age 0 〜24 hours, 24—48 hours, and 48〜72 hours respectively, and all TSH values in neonates of age 48〜72 hours were... |
Growth hormone and thyroid hormone are known to affect growth and development. The present experiment was undertaken to assess GH levels in the serum and pituitary gland of prophylthiouracil (PTU) treated rats. The serum concentration of T4 were decreased during PTU treatment. Serum GH concentration and pituitary GH content were decresed with severity of hypothyroid status. After withdrawl of PTU, their levels were recovered gradually. Acidophil... |
We reviewed 24 patients with congenital hypothyroidism to observe the etiology, clinical symptoms and signs, bone age, height age, the degree of mental retardation and growth velocity after treatment form Jan. 1983 to June 1987. The results were as follows: 1) The male to female ratio was about 1:3.8. The cases diagnosed under 1 year old were only 12.5%. 2) In etiologic classification, thyroid dysgenesis... |
We observed 3 cases of congenital hypothyroidism. A 43-day-old girl, a 372-month-old boy and a 5-year-old girl were presented. The causes were thyroid agenesis of case I, defective TSH receptor (suspect) of case II and undetermined in case III respectively. The diagnosis was made by clinical manifestations, thyroid function test, A brief review of literatures was made. |
A diagnosis of chronic lymphocytic thyroiditis(CLT) was made in 90 children & adolescents according to Fisher’s criteria. The age of the group ranged between 4 years & 16 years. On the basis of serum T4, T3 & TSH, three groups of patients were distinguished at the time of diagnosis.: euthyroid group (n=49), hyperthyroid group (n=7), hypothyroid group (n=34), where three subgroups were classified;... |
The authors experienced a 9-year-old male patient with Kocher-Decre-Semelaigne syndrome, hypothyroidism with generalized muscular hypertrophy. He was admitted with puffy face, abdominal distension, retarded growth, mental retardation, generalized muscular hypertrophy and hypertonia. Thyroid function test revealed hypofunction and thyroid gland was not visualized by 99raTc scintiscan. The stigmas of hypothyroidism and the muscular hypertrophy disappeared promptly after synthyroid replacement. Muscular biopsy... |
Congenital hypothyroidism is one of the important causes of retardation of growth and development. A 4 year 2 month old male patient was admitted to our department of Pediatrics, who showed marked growth failure and developmental retardation. Congenital hypothyroidism was suspected by history and physical examination, and confirmed by thyroid function test and thyroid scan, which showed ectopic lingual thyroid. A brief... |
The author summarized 287 cases of children who were diagnosed as having thyroid disease at Pediatric O.P.D. of the B.N.U. Hospital from Jan. 1973 to Aug. 1983. The children were grouped according to their thyroid function tests and the observed clinical data are as follows: 1)The ratio between male and female patients was 1 : 9.3. Age distribution was puberty,... |
Congenital hypothyroidism can be caused by ectopic thyroid which classified as aberrant type and accesory type. The authors eyperienced a case, having congenital hypothyroidism caused by ectopic thyroid (lingual thyroid) which confirmed by abnormal physical findings, biochemical studies, radio- logical studies, radioisotope uptake test and thyroid scintigram, in 1 year and 7 months old age female patients with chief problems of growth retardation. A brief review... |
We have experienced a case of 18p- syndrome with congenital hypothyroidism in a 16-month-old girl who had microcephaly, flat nasal bridge, failure to thrive, left inguinal hernia and umbilical hernia. The diagnosis was confirmed by physical findings, cytogenetic study, thyroid function test and thyroid scanning. The review of the related literature was made briefly. |
A 4-year old girl with the Kocher-Debre-Semelaigne syndrome, hypothyroidism with generalized muscular hypertrophy is described. Histologic examination of a calf muscle showed musclular hypertrophy with focal eosinophilic degeneration. The stigmas of hypothyroidism and the muscular hypertrophy disappeared promptly and concomitantly following therapy with desiccated thyroid. Similar cases reported in literature are briefly reviewed. The clinical and histologic changes of the... |
A case of athyrotic cretinism in a four months old female infant was presented. Diagnosis was established by clinical feature, skeletal X-ray, biochemical studies, radio-isotope uptake test, and scintiscan. Pertinent literatures were also briefly reviewed. |