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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Streak gonads are a finding seen in Turner syndrome. The devel- opment of ossification centers is also retarded in hypothyroidism.


By continuing to use this website, you agree to their use. Neonatal screen- ing programs assist the clinician in identifying these infants after birth, although errors in screening occur. April 7, Author: Examination reveals an alert infant with a large hipotirlid, cool skin, a large umbil- ical hernia, edematous extremities, and hypotonia. The mechanism of the mixed hyperbilirubinemia is uncertain.

Email required Address never made public. A 1-month-old female infant is referred to your clinic for a positive newborn kongenltal for hypothy- roidism.

Awareness of the subtle clini- cal signs and symptoms is imperative. To find out hipotoroid, including how to control cookies, see here: D Kongenittal infants with congenital hypothyroidism are asymptomatic at birth. 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.

Therapy initiated prior to 2—4 weeks of life can ensure near-normal intelli- gence. The indirect hyperbilirubinemia is due to impaired hepatic glucuronidation of bilirubin and to enhanced enterohepatic circulation of bilirubin secondary to decreased intestinal motility.


Atlanto-axial instability is also frequent, but is not associated with arthritis. E Affected infants usually have a goiter present at birth.

These antbodies can cause an increase in fetal thyroid hormone production. 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.

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D Prolonged hyperbilirubinemia is common. In normal neonates, ossification centers are usually radiographi- cally visible at birth in which of the following sites? Although cardiomegaly from myxedema of the heart can be seen, there are so many kongfnital, much more common pxda of cardiomegaly in the newborn that an enlarged heart would not be suggestive of hypothyroidism.

The infants may be edematous, have kongenifal large poste- rior fontanelle, have difficulty with feeding, and have a history of prolonged jaundice. C Affected infants appear thin. 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. The thyroid gland is invariably enlarged, often irregularly so. However, other auto- immune disorders, including diabetes mellitus, adrenal insufficiency, hypoparathyroidism, and pernicious anemia, occur in only a minority of patients.

No other abnormalities are detected.


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Leave a Reply Cancel reply Enter your comment here In constitutional growth delay, endocrinologic short stature, and undernutrition, the bone age is low and is com- parable to the height age.

They also have an increased likelihood wnak leukemia, but not solid tumors. They are more likely to have endocrinopathies, including hypothyroidism.

Which of the following roentgenographic find- ings in a newborn infant is most suggestive of undiagosed hypothyroidism? A scintis- can to look for ectopic thyroid tissue is helpful. Most patients are euthy- roid, some are hypothyroid, and a few are hyperthyroid. In familial short stature, the bone age is normal compared to chronological age. You are commenting using your WordPress.

Roentgenographic demon- stration of absence of the distal femoral epiphyses in paa term infant would be suggestive of hypothy- roidism. You are commenting using your Facebook account. A large posterior fontanelle is the only other finding.

A Affected infants are usually clinically apparent by the third day of life. Radiography of the distal femur of patients with congenital hypothyroidism frequently reveals absent distal epiphysis. If the mother is receiving antithyroid medication, this also crosses the placenta, and the infant may be euthyroid or even hypothyroid at birth.