Congenital insufficiency of the thyroid gland

Syn.: hypothyroidism congenitus, cretynizm.

Def .: Congenital disorder due to decreased production of thyroid hormones.

Etiol.:

– Disorders of the embryonic development of the thyroid gland.

– Iodine deficiency in the food of pregnant women (endemic form).

– Antithyroid drugs taken by pregnant women.

– Presence of pregnant anti-thyroid antibodies in the blood (rare).

Clinical: The most common are:

– CNS symptoms: newborns are not very active;

– skin symptoms: dry and cool skin, “bloated” face, enlarged tongue (macroglossia), brittle hair, sometimes myxedema.

Healing: Replacement therapy with thyroid hormones.

Year: Good. In untreated children, the possibility of irreversible changes in the CNS.

Lit.: [1] Djemli A., Van Vliet G., Delvin EE: Congenital hypothyroidism: from paracelsus to molecular diagnosis. Clin Biochem 2006, 39(5); 511-8. [2] Onigata K.: Congenital hypothyroidism. Nippon Rinsho 2005, 63; 105-10. [3] Shigemasa C.: Cretinism. Nippon. Rinsho 2006, 28; 329-32. 4-2006.

Source: A. Kaszuba, Z. Adamski: “Lexicon of dermatology”; XNUMXst edition, Czelej Publishing House

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