2011, Number 4
<< Back Next >>
Rev Esp Med Quir 2011; 16 (4)
Thyroid dysgenesis in a newborn
Vizzuett MR, Aguilar LAO, Valle PA
Language: Spanish
References: 7
Page: 248-251
PDF size: 299.05 Kb.
ABSTRACT
We communicate the case of a female newborn with thyroid dysgenesis secondary to total thyroidectomy and I-131 treatment in the 4
th gestational month because of thyroid cancer in the mother. At birth, the newborn showed hypoactivity, weak suction, hoarse cry, large posterior fontanelle, and a communicant sagittal suture. A thyroid dysgenesis diagnosis was done based on perinatal history, thyroid laboratory tests, ultrasound and x-rays. At the moment of diagnosis, levothyroxine treatment was prescribed; that produced a notorious clinical improvement.
REFERENCES
Prevención, diagnóstico y tratamiento del hipotiroidismo congénito neonatal en el primer nivel de atención. México: Secretaría de Salud, 2008.
Russell WE. Congenital hypothyroidism. En: http://health.state.tn.us/nbs/PDFs/Congenital_Hypothyroidism2.pdf
Holt HE. Care of the pregnant thyroid cancer patient. Curr Opin Oncol 2010;22:1-5.
Basbug M, Ozgun M, Murat N, Batukan C, et al. Prenatal diagnosis of fetal hypothyroidism after maternal radioactive iodine exposure during pregnancy. J Clin Ultrasound 2010;38(9):506-508.
Sioka C, Fotopoulus A. Effects of I-131 therapy on gonads and pregnancy outcome in patients with thyroid cancer. Fertil Steril 2011;95(5):1552-1559.
Hatch M, Brenner A, Bogdanova T, Derevyanko A, et al. A screening study of thyroid cancer and other thyroid diseases among individuals exposed in utero to Iodine-131 from Chernobyl fallout. J Clin Endocrinol Metab 2009;94(3):899-906.
American Academy of Pedriatrics. Newborn screening for congenital hypothyroidism: recommended guidelines. AAP, Section Endocrinology and Committee on Genetics, and American Thyroid Association Committee on Public Health. Pediatrics 1993;91(6):1203-1209.
Full text