HIPOTIROID KONGENITAL. EA. Ega Andari. Updated 21 November Transcript. Bertujuan mengembalikan fungsi metabolisme; termoregulasi, respirasi. Waspada Hipotiroid Kongenital pada Bayi Baru Lahir – http://www. Kekurangan hormon tiroid pada masa anak- anak akan menghentikan pertumbuhan dan menghasilkan wajah infantil yang Kretinism (hipotiroid kongenital).

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Neonatal screen- ing programs assist the clinician in identifying these infants after birth, although errors in screening occur. The thyroid gland is invariably enlarged, often irregularly so. The other causes of congenital hypothyroidism are uncommonly seen. You are commenting using your WordPress. To find out more, including how to control cookies, see here: Examination reveals an alert infant with a large tongue, cool skin, a large umbil- ical hernia, edematous extremities, and hypotonia.

These antbodies can cause an increase in fetal thyroid hormone production. Thyroid hormone is critical for normal brain develop- ment, deficiency of thyroid hormone during the first 2—3 years of life could result in irre- versible brain development.

Radiography of the distal femur of patients with congenital hypothyroidism frequently reveals absent distal epiphysis. In familial short stature, the bone age is normal compared to chronological age.

In normal neonates, ossification centers are usually radiographi- cally visible at birth in which of the following sites? Thyrotoxicosis in the first day oflife most likely occurs in an infant born to a mother with which of the following diagnoses?

If the mother is receiving antithyroid medication, this also crosses the placenta, and the infant may be euthyroid or even hypothyroid at birth. Therapy initiated prior to 2—4 weeks of life can ensure near-normal intelli- gence. A delayed bone age is noted on skeletal survey based on the appearance of ossification centers and further testing reveals the diagnosis of con- genital hypothyroidism. Leave a Reply Cancel reply Enter your comment here Which of the following is true of congenital hypothy- roidism?


C Affected infants appear thin. A Affected infants are usually clinically apparent by the third day of life.

D Prolonged hyperbilirubinemia is common. Maternal ingestion of iodides as in expectorants is a recognized cause of neona- tal hypothyroidism but is rare today. B Affected infants have unusually small fontanelles.

By continuing to use this website, you agree to their use. Email required Address never made public. This site uses cookies. Maternal ingestion of propylthiouracil causes a transi- tory hypothyroidism, but history should reveal maternal use of this drug. They also have an increased likelihood of leukemia, but not solid tumors. Fill in your details below or click an icon to log in: The ossification center of the hamate is not normally present at birth, thus x-ray examination of the wrist is of no value in the newborn period.

The most commonly used standards are those of Gruelich and Pyle, which require radiographs of the left hand and wrist; knee films are sometimes added for younger children. Streak gonads are a finding seen in Turner syndrome.

Reference standards for bone maturation facil-itate estimation of bone age. Although cardiomegaly from myxedema of the heart can be seen, there are so many other, much more common causes of cardiomegaly in the newborn that an enlarged heart would not be suggestive of hypothyroidism. Congenital heart disease most commonly endocardial cushion defects occurs in almost half of these children.

Roentgenographic demon- stration of absence of the distal femoral epiphyses in a term infant would be suggestive of hypothy- roidism. Which of the following is the most likely diagnosis? A large posterior fontanelle is the only other finding. E Affected infants usually have a goiter present at birth.


Which of the following roentgenographic find- ings in a newborn infant is most suggestive of undiagosed hypothyroidism? However, other auto- immune disorders, including diabetes mellitus, adrenal insufficiency, hypoparathyroidism, and pernicious anemia, occur in only a minority of patients.

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hipotiroix Close neurodevelopmental follow-up is necessary. Inborn metabolic errors of thyroid synthesis are much less frequent. April 7, Author: The mechanism of the mixed hyperbilirubinemia is uncertain.

Atlanto-axial instability is hlpotiroid frequent, but is not associated with arthritis. Awareness of the subtle clini- cal signs and symptoms is imperative. No other abnormalities are detected. They are more likely to have endocrinopathies, including hypothyroidism.


A scintis- can to look for ectopic thyroid tissue is helpful. This finding is occasionally used as a quick indirect screen for hypothyroidism. The devel- opment of ossification centers is also retarded in hypothyroidism.

You are commenting using your Facebook account. Most patients are hipotirkid roid, some are hypothyroid, and a few are hyperthyroid. You are commenting using your Twitter account. Hypothyroidism also can be associated with anemia and impaired renal function, but these are mild.

The indirect hyperbilirubinemia is due to impaired hepatic glucuronidation of bilirubin and to enhanced enterohepatic circulation of bilirubin secondary to decreased intestinal motility.