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5. Severe hypothyroidism due to atrophic thyroiditis from second year of life influenced developmental outcome.

Author

Joergensen JV, Oerbeck B, Jebsen P, Heyerdahl S, and Kase BF

Subjects
Atrophy pathology, Biopsy, Needle, Child, Preschool, Developmental Disabilities physiopathology, Dose-Response Relationship, Drug, Drug Administration Schedule, Female, Follow-Up Studies, Growth Disorders physiopathology, Humans, Hypothyroidism etiology, Immunohistochemistry, Risk Assessment, Severity of Illness Index, Thyroid Function Tests, Thyroiditis, Autoimmune pathology, Treatment Outcome, Developmental Disabilities etiology, Growth Disorders etiology, Hypothyroidism drug therapy, Hypothyroidism pathology, Thyroiditis, Autoimmune complications, Thyroxine administration & dosage
Abstract

Unlabelled: From the second year of life a girl showed an insidious development of clinical hypothyroidism due to a non-goitrous lymphocytic thyroiditis without traceable circulating levels of thyroid antibodies measured by routine immunoassays. The diagnostic delay of this rare variant of atrophic thyroiditis caused persistent neuropsychological deficits., Conclusion: Her difficulties with speed of processing and working memory in particular could suggest a frontal deficit, possibly in the dorsolateral prefrontal circuit. This contrasts with findings in congenital hypothyroidism, suggesting a relatively preserved frontal function, and could illustrate different neuropsychological deficits of hypothyroidism at different ages in early childhood.

Published
2005
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