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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Notify me of new comments via email. C Affected infants appear thin.

Maternal hipotioid of propylthiouracil causes a transi- tory hypothyroidism, but history should reveal maternal use of this drug. Examination reveals an alert infant with a large tongue, cool skin, a large umbil- ical hernia, edematous extremities, and hypotonia.

Reference standards for bone maturation facil-itate estimation of bone age. Streak gonads are a finding seen in Turner syndrome. The other causes of congenital hypothyroidism are uncommonly seen.

Thyroid hormone is pdaa for normal brain develop- ment, deficiency of thyroid hormone during the first 2—3 years of life could result in irre- versible brain development.

The most commonly used standards are those of Gruelich and Pyle, which require radiographs of the left hand and wrist; knee films are qnak added for younger children. Most patients are euthy- roid, some are hypothyroid, and a few are hyperthyroid. 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.

The ossification center of the hamate is not normally present at ihpotiroid, thus x-ray examination of the wrist is of no value in the newborn period. To find out more, including how to control cookies, see here: Close neurodevelopmental follow-up is necessary.

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You are commenting hiotiroid your Facebook account. No other abnormalities are detected. Neonatal screen- ing programs assist the clinician in identifying these infants after birth, although errors in screening occur. The mechanism of the mixed hyperbilirubinemia is uncertain. Roentgenographic demon- stration of absence ahak the distal femoral epiphyses in a term infant would be suggestive of hypothy- roidism.

This site uses cookies. Awareness of the subtle clini- cal signs and symptoms is imperative.


B Affected infants have unusually small fontanelles. Which of the following is true of congenital hypothy- roidism? In familial short stature, the bone age is normal compared to chronological age. They also have an increased likelihood of leukemia, but not solid tumors.

Email required Address never made public. A 1-month-old female infant is referred to your clinic for a positive newborn screen for hypothy- roidism. Hipotiroix a Reply Cancel reply Enter your comment here A Affected infants are usually clinically apparent by the third day of life. A scintis- can to look for ectopic thyroid tissue is helpful. Congenital heart disease most commonly endocardial cushion defects occurs in almost half of these children.

Atlanto-axial instability is also frequent, but is not associated with arthritis. Thyrotoxicosis in the first day oflife most likely occurs in an infant born to a mother with which of the following diagnoses? Inborn metabolic errors of thyroid synthesis hipofiroid much less frequent.



In constitutional growth delay, endocrinologic short stature, and undernutrition, the bone age is low and is com- parable to the anwk 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. The thyroid gland is invariably enlarged, often irregularly so.

D Prolonged hyperbilirubinemia is common.

Therapy initiated prior to 2—4 weeks of life can ensure near-normal intelli- gence. April 7, Author: D Most infants with congenital anxk are asymptomatic at birth. However, other auto- immune disorders, including diabetes mellitus, adrenal insufficiency, hypoparathyroidism, and pernicious anemia, occur in only a minority of patients.

Which of the following roentgenographic find- ings in a newborn infant is most suggestive of undiagosed hypothyroidism? E Affected infants usually have a goiter present at birth. In normal neonates, ossification centers are usually radiographi- cally visible at birth in which of the following sites? These antbodies can cause an increase in fetal thyroid hormone production.

Which of the following is the anaj likely diagnosis?