All issues > Volume 22(7); 1979

Case Report

J Korean Pediatr Soc. 1979;22(7):556-560. Published online July 15, 1979.

A Case of Athyrotic Cretinism.

Jae Ock Park, Eun Kim, Woo Hyun, Sang Jhoo Lee

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.

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