Medical Science - Case Report Hypothyroidism with scholastic excellence S. Salini, Shanthi Ramesh, Jagdeep Ramesh, D. Vijayasekaran
Department of Pediatrics, Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India
ABSTRACT A 9‑year‑old boy had presented with not gaining adequate height with complaints of constipation from 5 years, lethargy and loss of appetite from past 6 months. He was diagnosed to have hypothyroidism with high thyroid antibody levels. Though he was stunted his neurocognition and scholastic performance was excellent as evidenced by his school rank cards. His physical symptoms had improved after thyroxin supplement
Address for correspondence: Dr. S. Salini, E‑mail: drsalini86@ gmail.com Received : 31-10-14 Review completed : 31-10-14 Accepted : 09-11-14
KEY WORDS: Acquired hypothyroidism, neurocognition, short stature
H
ypothyroidism is the condition in which there is decreased production or activity of the thyroid hormones.[1] Thyroid hormone act on all body tissues and influence calorigenesis, basal metabolic rate, protein catabolism, gluconeogenesis, fatty acid metabolism and other endocrine hormones.[2] The effect of thyroid hormone deficiency depends on the degree and the time duration of the deficiency.[1] Here, we are presenting a case of hypothyroidism which had manifested in late childhood.
Case Report A 9‑year‑old boy 1st born to 3° consanguineous marriage was brought with complaints of not gaining height for the age. Mother noted weight gain, lethargy and loss of appetite from last 6 months. There was history of constipation. Birth history was uneventful. Child was developmentally normal with good scholastic performance. There was history of vitiligo for mother. On examination, child was alert, oriented, with a height of 103 cm which is
Department of Pediatrics, Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India
ABSTRACT A 9‑year‑old boy had presented with not gaining adequate height with complaints of constipation from 5 years, lethargy and loss of appetite from past 6 months. He was diagnosed to have hypothyroidism with high thyroid antibody levels. Though he was stunted his neurocognition and scholastic performance was excellent as evidenced by his school rank cards. His physical symptoms had improved after thyroxin supplement
Address for correspondence: Dr. S. Salini, E‑mail: drsalini86@ gmail.com Received : 31-10-14 Review completed : 31-10-14 Accepted : 09-11-14
KEY WORDS: Acquired hypothyroidism, neurocognition, short stature
H
ypothyroidism is the condition in which there is decreased production or activity of the thyroid hormones.[1] Thyroid hormone act on all body tissues and influence calorigenesis, basal metabolic rate, protein catabolism, gluconeogenesis, fatty acid metabolism and other endocrine hormones.[2] The effect of thyroid hormone deficiency depends on the degree and the time duration of the deficiency.[1] Here, we are presenting a case of hypothyroidism which had manifested in late childhood.
Case Report A 9‑year‑old boy 1st born to 3° consanguineous marriage was brought with complaints of not gaining height for the age. Mother noted weight gain, lethargy and loss of appetite from last 6 months. There was history of constipation. Birth history was uneventful. Child was developmentally normal with good scholastic performance. There was history of vitiligo for mother. On examination, child was alert, oriented, with a height of 103 cm which is
