Hisworo Multialam
Department of Child Health, Universitas Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera

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Congenital Hypothyroidism Hisworo Multialam; Robert M. Simandjuntak; Endang D. Hamid
Paediatrica Indonesiana Vol 34 No 5-6 (1994): May - June 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (450.739 KB) | DOI: 10.14238/pi34.5-6.1994.170-4

Abstract

We report a case of congenital hypothyroidism seen at the Division of Endocrinology, Medical School, University of North Sumatera/Dr. Pirngadi Hospital. A 13-month ols Batak girl presented witih signs and symptoms of congenital hypothyroidism. On physical examination, umbilical and inguinal hernias were present. Treatment with L -Thyroxme using initial dose 45/µg/day for one month was initiated and after two months the signs and symptoms disappeared. Laboratory finding showed normal T4, but T3 was slightly low. Radiological examination was done to evaluate the bone age. The treatment was continued using the follow-up dose of L-Thyroxine 45µg. Although the treatment has resulted in good outcome, evaluations for the child's growth and development should be continued.