en POLSKI
eISSN: 2083-8441
ISSN: 2081-237X
Pediatric Endocrinology Diabetes and Metabolism
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
1/2023
vol. 29
 
Share:
Share:
abstract:
Case report

Congenital hypothyroidism due to thyroid ectopy not detected in neonatal screening – case report

Anna Stępniewska
1
,
Małgorzata Wójcik
1
,
Jerzy B. Starzyk
1

  1. Department of Paediatric and Adolescent Endocrinology, Chair of Paediatrics, Paediatric Institute, Jagiellonian University Medical College, Krakow, Poland
Pediatr Endocrinol Diabetes Metab 2023; 29 (1): 53-56
Online publish date: 2023/04/06
View full text Get citation
 
PlumX metrics:
Newborn screening for congenital hypothyroidism (CH) has been highly effective in preventing devastating neurodevelopmental and physical sequelae in affected infants. We report a case of an ectopic thyroid gland located in the submandibular area detected at the age of 3 months, which was missed by congenital hypothyroidism screening test based on twice-repeated TSH measurement in dried blood spots. The diagnosis of subclinical hypothyroidism was confirmed on the basis of blood test performed in the endocrine clinic: TSH 26.3 µIU/ml (N: < 10 µIU/ml), with FT4 14.7 pmol/l (N: 10–25 pmol/l) and fT3 6.9 pmol/l (N: 3–8 pmol/l). Ultrasonography and scintigraphy revealed ectopically located thyroid tissue in the sublingual area. In the case of doubtful results of a neonatal screening test or in any case of suspected congenital hypothyroidism, the diagnosis should be supplemented with ultrasound examination of the neonate’s neck and followed by scintigraphy if necessary.
keywords:

thyroid ultrasonography, hormone, submandibular thyroid gland, scintigraphy


Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.