| A Case of Athyrotic Cretinism. |
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Sang Chil Yoon, Kil Woo Kim, Myoung Suk Lee, Churl Young Chung, Jong Eun Joo, Ill IIyang Ko |
1Department of Pediatrics, Paik Foundation Hospital, Seoul, Korea.
2Department of Clinical Pathology, Paik Foundation Hospital, Seoul, Korea. |
| 선천성 무갑상선증 1례 |
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윤상칠, 김길우, 이명숙, 정철영, 주종은, 고일향 |
1백병원 소아과
2백병원 임상병리과 |
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| Abstract |
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This paper presented a case of athyrotic cretinism in a 4 months old female infant. Durring neonatal 7 period she suffered from prolonged jaundice for about 50 days On admission, elinical manifestations suggesting of hypothyroidism were umbilical hernia, feeding problems due to large tongue, respiratory difficulty, lethargy and skin changes Roengenogram of the long bone series revealed the absence of epiphyseal centers of capitates and hamates in the hands, and cuboids in the feet. Thyroid function test also showed 6.5% and 4.1% at 6 hours and 24 hours after I131 uptake respectively, and T 3 value of 25.1ug/dl and T4 of 3.0ug/dl. On thyroid scan, no evidence of activity of thyroid gland was noted. Complete absence of thyroid tissues on autopsy of this baby confirmed the diagnosis of athyrotic cretinism. The review of the literature Concerning the Congenital hypothyroidism were made briefly. |
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