Congenital Hypothyroidism

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...

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Main Authors: Hisworo Multialam, Robert M. Simandjuntak, Endang D. Hamid
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2018-11-01
Series:Paediatrica Indonesiana
Subjects:
Online Access:https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2027
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author Hisworo Multialam
Robert M. Simandjuntak
Endang D. Hamid
author_facet Hisworo Multialam
Robert M. Simandjuntak
Endang D. Hamid
author_sort Hisworo Multialam
collection DOAJ
description 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.
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spelling doaj.art-b396743d380d48ddb1a30c63609f13b02022-12-22T02:09:41ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2018-11-01345-6170410.14238/pi34.5-6.1994.170-42027Congenital HypothyroidismHisworo Multialam0Robert M. Simandjuntak1Endang D. Hamid2Department of Child Health, Universitas Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North SumateraDepartment of Child Health, Universitas Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North SumateraDepartment of Child Health, Universitas Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North SumateraWe 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.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2027congenital hypothyroidism; umbilical hernia; inguinal hernia; L-Thyroxine
spellingShingle Hisworo Multialam
Robert M. Simandjuntak
Endang D. Hamid
Congenital Hypothyroidism
Paediatrica Indonesiana
congenital hypothyroidism; umbilical hernia; inguinal hernia; L-Thyroxine
title Congenital Hypothyroidism
title_full Congenital Hypothyroidism
title_fullStr Congenital Hypothyroidism
title_full_unstemmed Congenital Hypothyroidism
title_short Congenital Hypothyroidism
title_sort congenital hypothyroidism
topic congenital hypothyroidism; umbilical hernia; inguinal hernia; L-Thyroxine
url https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2027
work_keys_str_mv AT hisworomultialam congenitalhypothyroidism
AT robertmsimandjuntak congenitalhypothyroidism
AT endangdhamid congenitalhypothyroidism