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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Maternal ingestion of iodides as in expectorants is a recognized cause of neona- tal hypothyroidism but is rare today. These antbodies can cause an increase in fetal thyroid hormone production. You are commenting using your Facebook account. A large posterior fontanelle is the only other finding. Neonatal screen- ing programs assist the clinician in identifying these infants after birth, although errors in screening occur.

The infants may be edematous, mongenital a large poste- rior fontanelle, have difficulty with feeding, and have a history of prolonged jaundice. Hypothyroidism also can be associated with anemia and impaired renal function, but these are mild. In constitutional growth delay, endocrinologic short stature, and undernutrition, the bone age is low and is com- parable to the height age.

Leave a Reply Cancel reply Enter your comment here If the mother is receiving antithyroid medication, this also crosses the placenta, and the infant may be euthyroid or even hypothyroid at birth. Reference standards for bone maturation facil-itate estimation of bone age. Kongenita 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 other causes hi;otiroid congenital hypothyroidism are uncommonly hipotiriod. However, other auto- immune disorders, including diabetes mellitus, adrenal insufficiency, hypoparathyroidism, and pernicious anemia, occur in only a minority of patients. 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.

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.

Which of the following roentgenographic find- ings in a newborn infant is most suggestive of undiagosed hypothyroidism? They also have an increased likelihood of leukemia, but not solid tumors. Fill in your details below or click an icon to log in: In normal neonates, ossification centers are usually radiographi- cally visible at birth in which of the following sites?

Inborn metabolic errors of thyroid synthesis are much less frequent. In familial short hipotroid, the bone age is normal compared to chronological age. Which of the following is true of congenital hypothy- roidism? 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.


Atlanto-axial instability is also frequent, but is not associated with arthritis. The indirect hyperbilirubinemia is hipoitroid to impaired hepatic glucuronidation of bilirubin and to enhanced enterohepatic circulation of bilirubin secondary to decreased intestinal motility.


No other abnormalities are detected. Thyrotoxicosis in the first day oflife most likely occurs in an infant born to a mother with which of the following diagnoses?

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This finding is occasionally used as a quick indirect screen for hypothyroidism. Email required Address never made public. This site uses cookies.

You are commenting using your Twitter account. D Most infants with congenital hypothyroidism are asymptomatic at birth. Notify me of new oongenital via email.

Examination reveals an alert infant with a large tongue, cool skin, a large umbil- ical hernia, edematous extremities, and hypotonia. Congenital heart disease most commonly endocardial cushion defects occurs in almost half of these children.

C Anaj infants appear thin.

Awareness hipoitroid the subtle clini- cal signs and symptoms is imperative. A scintis- can to look for ectopic thyroid tissue is helpful. B Affected infants have unusually small fontanelles. By continuing to use this website, you agree to their use. To find out more, including how to control cookies, see here: They are more likely to have endocrinopathies, including hypothyroidism.

The devel- opment of ossification centers is also retarded in hypothyroidism.