Congenital hypothyroidism presenting as isolated macroglossia in a term neonate: A case report
Journal Title: Indian Journal of Child Health - Year 2018, Vol 5, Issue 3
Abstract
Macroglossia is a clinical condition in which the tongue protrudes beyond the teeth or alveolar ridge during resting posture, or there is an impression of a tooth on the lingual border with the mouth open. True macroglossia occurs in hypothyroidism, Beckwith–Wiedemann syndrome, and storage disorders. Apparent or pseudo macroglossia may result from neurological impairment of the tongue or a relatively small buccal cavity as in Pierre Robin syndrome and Down’s syndrome. Rarely, macroglossia is inherited as an autosomal dominant condition. A wide variety of primary conditions of the tongue can cause tongue enlargement, e.g., lingual thyroid, cysts, tumors, hemangioma, lymphatic malformations, and myositis. Symptoms associated with macroglossia include noisy breathing, stridor, snoring, and feeding difficulties. Although macroglossia is described in hypothyroidism, there are few publications on macroglossia presenting in the neonatal period. We report a case of congenital hypothyroidism presenting as isolated macroglossia at birth in a term neonate.
Authors and Affiliations
Laxman Basani, Roja Aepala
Keywords
Related Articles
- EP ID EP463024
- DOI -
- Views 79
- Downloads 0
Identification of low birth weight babies by birth weight-independent anthropometric measures
Introduction: Birth weight (BW) is the single most important factor that affects neonatal mortality and infant and childhood morbidity. Most of the deliveries in rural areas are conducted at home, often by traditional bi...
Correlation of acute suppurative otitis media with infant feeding position
Background: Acute otitis media (AOM) is the most common childhood illness necessitating medical therapy for children younger than 5 years. Long-term and exclusive breastfeeding is associated with protection against AOM....
Assessment of fetal nutrition status at birth using the clinical assessment of nutritional status score
Introduction: Assessment of fetal malnutrition (FM) among neonates has been a major concern to health personnel due to the potentially serious sequelae of malnutrition on multiple organ systems. There is a dearth of rese...
Joubert syndrome: Case report of three affected siblings
Joubert syndrome (JS) is a rare autosomal recessive disorder that has variable phenotype but characteristic magnetic resonance imaging (MRI) findings. “Molar tooth” appearance of cerebellar peduncles and “bat-wing” appea...
Incidence and clinical profile of rotaviral infection among children below 5 years of age admitted with acute diarrhea in a tertiary care hospital of Tripura
Background: Acute diarrheal disease is a major cause of childhood morbidity and mortality. Rotavirus has been recognized as the most common cause of severe diarrhea in children. Data on rotaviral disease burden are neede...