Presentation
Abstract A FREQUENT presenting sign of hypothyroidism in children is short stature. Failure to grow may be a manifestation of hypothyroidism due to pituitary malfunction or to primary thyroid failure. [mdedge.com]
Other findings of hypothyroidism like loss of eyebrows, calf muscle hypertrophy, dry skin, and delayed relaxation of reflexes were also present. [thetrp.net]
Reproductive system: females present with menstrual irregularities, infertility and anovulation. Males may present with gonadal dysfunctions. Children with juvenile hypothyroidism may present with precocious puberty. [flexikon.doccheck.com]
Precaution APCA is present in many healthy persons over the age of 60 years. Pathophysiology The parietal cells are present in the proximal portion of gastric mucosa and produce acid ( HCL ) and Intrinsic factor. [labpedia.net]
Theoretically, the causes of abnormalities present at birth can be listed as of a genetic, germinal or peristatic nature. During the past decades special attention has been paid to both genetic and peristatic factors. [books.google.com]
Entire Body System
- Goiter
Iodine Deficiency Goiter: Subiodic goiter; Simple goiter; colloid goiter - pubertal, Adolescent Gestational; Menopausal; Endemic; Sporadic. 4. Hypothyroidism" Adult myxedema; Cretinism; Juvenile myxedema. 5. [homeoint.org]
Over 60% presented for goiter, 10% with pain in the thyroid region. [indianpediatrics.net]
Uninodular goiter (nontoxic) 241.1 Nontoxic multinodular goiter Multinodular goiter (nontoxic) 241.9 Unspecified nontoxic nodular goiter Adenomatous goiter Nodular goiter (nontoxic) NOS Struma nodosa (simplex) 242 Thyrotoxicosis with or without goiter [theodora.com]
E03 Other hypothyroidism Excludes1 iodine-deficiency related hypothyroidism ( E00 - E02 ) postprocedural hypothyroidism ( E89.0 ) E03.0 Congenital hypothyroidism with diffuse goiter Inclusion term(s): Congenital parenchymatous goiter (nontoxic) Congenital [icd10coded.com]
E04 Other nontoxic goiter E04.0 Nontoxic diffuse goiter E04.1 Nontoxic single thyroid nodule E04.2 Nontoxic multinodular goiter E04.8 Other specified nontoxic goiter E04.9 Nontoxic goiter, unspecified E05 Thyrotoxicosis [hyperthyroidism] E05.0 Thyrotoxicosis [icd10data.com]
- Hypothermia
American Association of Clinical Endocrinologists (AACE) advocates the use of a high-quality brand preparation of levothyroxine High mortality rate Myxedema coma almost always occurs in the elderly non compliance with hypothyroid treatment *Extreme hypothermia [quizlet.com]
[…] blood sugar (hypoglycemia), common in insulin-dependent diabetics after an exercise, skipped meal or insulin overdose Blood loss due to external or internal bleeding (in car accidents, shooting or stitch injuries), heavy menstrual bleeding, surgery Hypothermia [ktthebest4u.blogspot.com]
Severe cases, requiring hospitalization can exhibit signs of hypothermia, hypoglycemia, hypotension, respiratory depression, and coma. Cause [ edit ] Myxedema is known to occur in various forms of hypothyroidism, and also in Graves' disease. [en.wikipedia.org]
Usually occurs in elderly patients and presents with confusion, severe hypothermia, shock and coma. [flexikon.doccheck.com]
- Disproportionate Short Stature
On examination his height was 124 cms, (less than 3 rd percentile), with disproportionate short stature, lower segment being shorter than upper segment and arm span 8 cms less than the height. [thetrp.net]
Gastrointestinal
- Constipation
Since infancy she had had a problem with constipation, which had been controlled with diet. Her skin had always been quite dry. Her medical history and review of systems were otherwise non-contributory. [mdedge.com]
Geography of hypothyroidism Incidence is ten times higher than average in iodine-deficient areas *places where there is excessive consumption of goitrogens (e.g. cassava) Symptoms of hypothyroidism Tiredness, weakness Dry skin Feeling cold Hair loss Constipation [quizlet.com]
They may have difficulty feeding and experience constipation. If untreated, congenital hypothyroidism can lead to intellectual disability and slow growth. [icdlist.com]
Identify strategies for weight reduction and prevention of constipation such as high-fiber, low-calorie intake and adequate fluid intake. Documentation Guidelines The focus of documentation should include: Level of activity. [nurseslabs.com]
Corrosive injury Foreign body ingestion Juvenile polyposis and related syndromes Distal intestinal obstruction syndrome (cystic fibrosis) Roundworm ( Ascaris lumbricoides ) Gastric and intestinal bezoars Colonic volvulus secondary to aerophagia and constipation [unboundmedicine.com]
Jaw & Teeth
- Macroglossia
Symptoms Feeding difficulties Somnolence Lethargy Low frequency of crying Constipation Signs Large fontanelles Myxoedema - with coarse features and a large head and oedema of the genitalia and extremities Nasal obstruction Macroglossia Low temperature [patient.info]
There is dwarfism, macroglossia and mental dullness. iatrogenic hypothyroidism may follow treatment for hyperparathyroidism in cats. juvenile hypothyroidism congenital hypothyroidism (above). primary hypothyroidism that resulting from disease of the thyroid [medical-dictionary.thefreedictionary.com]
ORAL MANIFESTATIONS Symptoms Teeth Jaw bone Palate Macroglossia Lips Radiological features Skull changes Air sinuses Teeth Jaw bone 11. Surgery- trans sphenoidal surgery may result in cure of growth hormone excess especially in [slideshare.net]
Skin
- Coarseness of the Skin
In addition to a decreased metabolic rate, symptoms may include anemia, slow speech, an enlarged tongue, puffiness of the face and hands, loss of hair, coarse and thickened skin, and sensitivity to cold. [medical-dictionary.thefreedictionary.com]
Face, Head & Neck
- Epistaxis
TRAHEITE ACUTE, CRONICE - TRAHEOBRONSITE - BRONSITE ALERGICE - ASTM BRONSIC - EMFIZEM PULMONAR - INSUFICIENTA RESPIRATORIE - RINOREE APOASA, PURULENTA - RAGUSEALA CRONICA SI DUPA EFORT VOCAL - TUSE SPASMODICA ACUTA SI CRONICA - DISPNEE ASTMATIFORMA - EPISTAXIS [homeopatie.ro]
Urogenital
- Delayed Menarche
menarche Ovarian hypofunction Primary ovarian failure NOS 256.4 Polycystic ovaries Isosexual virilization Stein-Leventhal syndrome 256.8 Other ovarian dysfunction 256.9 Unspecified ovarian dysfunction 257 Testicular dysfunction 257.0 Testicular hyperfunction [theodora.com]
Neurologic
- Somnolence
[…] hypothyroidism Depression Cognitive problems Weight gain Fatigue Irregular menstruation Infertility Gastrointestinal disease Hyperlipidemia Coronary artery disease Hypertension Neonatal/congenital hypothyroidism Prolonged jaundice Hoarse cry Constipation Somnolence [quizlet.com]
Cf Hyperthyroidism. hy·po·thy·roid·ism ( hī'pō-thī'royd-izm ) Diminished production of thyroid hormone, leading to clinical manifestations of thyroid insufficiency, including somnolence, slow mentation, dryness and loss of hair, subnormal temperature, [medical-dictionary.thefreedictionary.com]
Symptoms Feeding difficulties Somnolence Lethargy Low frequency of crying Constipation Signs Large fontanelles Myxoedema - with coarse features and a large head and oedema of the genitalia and extremities Nasal obstruction Macroglossia Low temperature [patient.info]
Signs and symptoms of hypothyroidism include low metabolic rate, tendency to weight gain, somnolence and sometimes myxedema. In the United States, the most common cause of hypothyroidism is hashimoto's thyroiditis, an autoimmune disorder. [icd10data.com]
- Apathy
The patient at diagnosis with apathy, myxedema of the extremities, and sparse-brittle hair. Bone age was severely delayed (6 years as assessed by the Greulich and Pyle standard). [hormones.gr]
Symptoms suggestive of hypothyroidism such as weight gain, growth failure, lassitude, mental apathy, hoarseness, puffiness of eyes, hair loss, poor appetite and constipation were noted in 54% with varying clinical signs of hypothyroidism. [indianpediatrics.net]
Workup
X-Ray
- Delayed Bone Age
When thyroid hormone is absent from birth, it leads to growth arrest, delayed bone age, and short stature. [thetrp.net]
Children with poor linear growth, delayed bone age, and abnormal GH stimulation tests are considered GH deficient. [nursekey.com]
In those presenting with marked growth failure, delayed bone age and other features of hypothyroidism, the thyroid gland is often not palpable due to the aggressive fibrous variant of AITD(2,23). [indianpediatrics.net]
- Enlarged Sella
X-ray skull sellar view [Figure 1] showed an enlarged sella with hypoplastic maxillary and frontal sinuses. [thetrp.net]
T Wave
- Flattened T Wave
The electro- cardiogram revealed sinus bradycardia and flattened T waves. The concentration of blood glucose, urea nitrogen, calcium, phosphorus, sodium and potas- VOL. 43, DECEMBER 1967 sium were normal. [docslide.com.br]
Treatment
Alternative treatment Alternative treatments are primarily aimed at strengthening the thyroid and will not eliminate the need for thyroid hormone medications. [medical-dictionary.thefreedictionary.com]
Standard Therapies Treatment Treatment of Graves’ disease usually involves one of three methods, antithyroid drugs (thionamides), use of radioactive iodine, or surgery. [rarediseases.org]
Primary - Hashimotos thyroiditis Iatrogenic-Hyperthyroid treatment Drugs: iodine excess, contrast, hyperthyroid treatment Congenital hypothyroidism Hypopituitarism: Hypothalamic disorders Associated autoimmune diseases of hypothyroidism Rheumatoid arthritis [quizlet.com]
Exposure to high doses of radiation for the treatment of head and neck cancers. Radioactive iodine ( RAI ) treatment for Grave's disease may cause hypothyroidism. Dyshormonogenesis is a autosomal recessive disease caused by peroxidase deficiency. [flexikon.doccheck.com]
Prognosis If CH is detected early in infants and treatment begun, normal development of mental function can occur. [ 11 ] If treatment is delayed, spasticity, gait problems and dysarthria and profound mental disability may result. [patient.info]
Prognosis
Childhood bullous pemphigoid: clinical and immunologic features, treatment and prognosis. Arch Dermatol 1991;127:378-86. 2. Borradori L, Bernard P. Pemphigoid group. In: Bolognia JL, Jorizzo JL, Rapini RP. Dermatology. [degruyter.com]
If not, the prognosis remains dismal. [5] History [ edit ] Myxedema was first treated successfully in 1891, when George Redmayne Murray diagnosed a 46-year-old woman with the disease. He prescribed an extract from sheep thyroid. [en.wikipedia.org]
Treatment and prognosis of Grave’s disease in children and adolescents. UpToDate, Inc. 2014 Jan 10. Available at: http://www.uptodate.com/contents/treatment-and-prognosis-of-graves-disease-in-children-and-adolescents Accessed on: November 8, 2015. [rarediseases.org]
Prognosis If CH is detected early in infants and treatment begun, normal development of mental function can occur. [ 11 ] If treatment is delayed, spasticity, gait problems and dysarthria and profound mental disability may result. [patient.info]
Prognosis Thyroid hormone replacement therapy generally maintains normal thyroid hormone levels unless treatment is interrupted or discontinued. [medical-dictionary.thefreedictionary.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
In 183 short chapters, the book provides the essentials clinicians need on symptoms/signs, diagnostic tests, and neurologic disorders of all etiologies. For this edition, Timothy A. [books.google.de]
Etiology: Autoimmune Infection Drugs 44. [slideshare.net]
Etiology May be congenital (e.g., atresia, duplication), acquired (e.g., neoplastic, inflammatory), or iatrogenic (e.g., adhesions, radiation stricture) Etiology varies by age: Neonates Intestinal atresia (most common cause in neonates) Obstructive meconium [unboundmedicine.com]
Rare in the US Remains the most common cause of hypothyroidism worldwide Hypothyroidism In areas of iodine sufficiency Autoimmune disease (Hashimoto's thyroiditis) Iatrogenic causes (treatment of hyperthyroidism) are most common Etiology of hypothyroidism [quizlet.com]
Epidemiology
Bullous pemphigoid in infancy: Clinical and epidemiologic characteristics. J Am Acad Dermatol 2008;58(1):41-8. 4. Fisler RE, Saeb M, Liang MG, Howard RM, McKee PH. Childhood bullous pemphigoid: a clinicopathologic study and review of the literature. [degruyter.com]
Epidemiology In the UK, 1 in 4,000 live births have CH. The incidence is twice as common in girls. [ 1 ] Areas with iodine deficiency associated with endemic CH are Bangladesh, China, Peru and Zaire. [patient.info]
Inoue M, Taketani N, Sato T, Nakajima H (1975) High incidence of chronic lymphocytic thyroiditis in apparently healthy school children: epidemiological and clinical study. Endocrinol Jpn 22:483–489 Google Scholar 11. [link.springer.com]
Statistics and Epidemiology Hypothyroidism occurs in specific individuals at different instances. Hypothyroidism occurs most frequently in older women. [nurseslabs.com]
The pituitary secretion is in turn controlled by the releasing hormone TRH that is formed in the hypothalamus. 2 Epidemiology Primary Hypothyroidism is very prevalent worldwide. It can be endemic in regions with severe iodine -deficiency. [flexikon.doccheck.com]
Pathophysiology
Pathophysiology Pathophysiology depends on the mechanism of the obstruction. [unboundmedicine.com]
Pathophysiology The parietal cells are present in the proximal portion of gastric mucosa and produce acid ( HCL ) and Intrinsic factor. Intrinsic factor is needed for the absorption of vit B 12. [labpedia.net]
Pretibial myxedema can occur in 1–4% of patients with Graves' disease, a cause of hyperthyroidism. [3] Hypothyroidism, including Hashimoto's thyroiditis. [ citation needed ] Pathophysiology [ edit ] Myxedema describes a specific form of cutaneous and [en.wikipedia.org]
Pathophysiology Hypothyroidism is among the most common endocrine diseases. [reference.medscape.com]
Prevention
Prevention Prevention of hypothyroidism can be achieved with the following: Increase in iodine intake. Iodine intake is the foremost prevention strategy in hypothyroidism. Early detection. [nurseslabs.com]
Prevention Primary hypothyroidism can't be prevented, but routine screening of adults could detect the disease in its early stages and prevent complications. Key terms Cretinism — Severe hypothyroidism that is present at birth. [medical-dictionary.thefreedictionary.com]
[…] respiratory failure Intravenous levothyroxine Parenteral hydrocortisone - prevents adrenal crisis [quizlet.com]
Hypothyroidism secondary to autoimmune thyroiditis may develop insidiously with slow and progressive physical changes that may remain unrecognized even to parents. 4 Nevertheless, early recognition of symptoms and signs of hypothyroidism is important to prevent [hormones.gr]
Treatment and Prevention Treating hypothyroidism requires replacing hormones with synthetic or natural thyroid hormones. The easiest and most effective thyroid hormone replacement involves a synthetic form of T4 that is taken orally (by mouth). [medbroadcast.com]