J Korean Pediatr Soc.  1979 Jul;22(7):556-560.

A Case of Athyrotic Cretinism

Affiliations
  • 1Department of Pediatrics, Soon Chun Hyang Medical College, Seoul, Korea.

Abstract

We experienced a case of athyrotic cretinism in a 9 month old female patient. She had a history of prolonged jaundice in neonatal period. The physical findings that suggest she had hypothyroidism were large anterior fortanel, unbilical hernia, widely separated suture line of the skull, large and protruded tongue, eyelid edema, no eruption of any tooth and skin change. X-ray film of the both wrists showed no calcification center of the right capitate. Thyroid function test revealed 5.3%, 6.3%, 3.9% and 1.8% at 2 hours, 4 hours, 24 hours and 48 hours after I131 uptake respectively. T3 value was 13.4%. T4 was 0.75ug/dl. No evidence of thyroid activity was noted on the thyroid scan.


MeSH Terms

Congenital Hypothyroidism*
Edema
Eyelids
Female
Hernia
Humans
Hypothyroidism
Infant
Jaundice
Skin
Skull
Sutures
Thyroid Function Tests
Thyroid Gland
Tongue
Tooth
Wrist
X-Ray Film
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