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J Res Clin Med. 2021;9(1): 22.
doi: 10.34172/jrcm.2021.022
  Abstract View: 216
  PDF Download: 115

Case Report

Delayed Diagnosis of Congenital Hypothyroidism in a 6-month-old Male Infant in Tamale, Ghana.

Alhassan Abdul-Mumin 1,2* ORCID logo, Kingsley A Bimpong 2 ORCID logo, Emmanuel Ameyaw 3,4 ORCID logo

1 Department of Paediatrics and Child Health, School of Medicine, University for Development Studies, Tamale, Ghana
2 Department of Paediatrics and Child Health, Tamale Teaching Hospital, Tamale, Ghana
3 Department of Child Health, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
4 Directorate of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana

Abstract

Congenital hypothyroidism is a common inborn endocrine disorder. Asymptomatic presentation in majority of cases mean that its diagnosis may be missed especially in settings where newborn screening is absent. We present a case of delayed diagnosis of congenital hypothyroidism and emphasize on need for high level of suspicion to aid prompt diagnosis and treatment. Our case is a 3 year, 4 months old male, who was first seen at 5 months of age on account of poor growth. He passed meconium after day four of life, developed jaundice in first week of life, and slept a lot in neonatal period. He had coarse faces, protruding tongue, widened anterior fontanelle and herniation of umbilicus. He was started on oral levothyroxine 50 microgram daily. In resources limited settings where universal newborn screening is absent, healthcare workers should have a high level of suspicion in picking up the early signs of the condition.
Keywords: congenital hypothyroidism, delayed diagnosis, low resource setting
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Submitted: 03 Mar 2021
Revision: 08 Mar 2021
Accepted: 11 Apr 2021
ePublished: 16 May 2021
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