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Case Report
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| Neglected case of congenital hypothyroidism in a 17-year-old female | ||||||
| Mahmoud Medhat Mahmoud | ||||||
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Alexandria Faculty of Medicine-Fifth Year Medical Student, Alexandria University, Alexandria, EGYPT
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| How to cite this article: |
| Mahmoud MM. Neglected case of congenital hypothyroidism in a 17-year-old female. International Journal of Case Reports and Images 2013;4(9):481–484. |
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Abstract
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Introduction:
Congenital hypothyroidism is one of the most common endocrinal disorders in newborns. The slow development of obvious clinical symptoms, coupled with the importance of early treatment led to the implementation of widespread newborn screening for this condition.
Case Report: This paper presents a case of congenital hypothyroidism that was born at home and was not screened for hypothyroidism. A 17-year-old female patient complained of short stature, mental retardation, delayed puberty and chronic constipation as a result of neglected hypothyroidism. Conclusion: This case discusses the importance of neonatal screening programs for early detection of congenital hypothyroidism cases that are unfortunately still being neglected in some areas of developing countries. It also shows the value of early and adequate replacement therapy for the detected cases as this could protect them against irreversible growth retardation and mental retardation. This is because any diagnostic delay, inadequate treatment or even poor compliance to treatment is always associated with irreversible damage as those manifested in this case. | |
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Keywords:
Hypothyroidism, Short stature, Neonatal screening
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Author Contributions
Mahmoud Medhat Mahmoud – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Mahmoud Medhat Mahmoud et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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