Congenital hypothyroidism with Prader-Willi syndrome.
We report a 1 year-old female patient with severe hypotonia who has congenital hypothyroidism and Prader-Willi syndrome (PWS). At birth she was found to have congenital hypothyroidism caused by an ectopic sublingual thyroid gland and was commenced on thyroid replacement therapy. She continued to have severe motor delay and therefore further diagnostic evaluation was performed. PWS was confirmed by DNA and fluorescence in situ hybridization (FISH) analysis. This report emphasizes the need to further investigate patients who are found to have congenital hypothyroidism and do not improve adequately on treatment.
Sher
Carron
C
Genetic Institute, Assaf-Harofeh Medical Center Zrifin, Israel. carrons@asaf.health.gov.il
Bistritzer
Tzvi
T
Reisler
Gad
G
Reish
Orit
O
D003409:Congenital Hypothyroidism; D005260:Female; D020249:Hormone Replacement Therapy; D006801:Humans; D007037:Hypothyroidism / Q000150:complications*; D007223:Infant; D008607:Intellectual Disability / Q000150:complications; D011218:Prader-Willi Syndrome / Q000150:complications* / Q000188:drug therapy; D013960:Thyroid Function Tests; D013963:Thyroid Hormones / Q000627:therapeutic use
D013963:Thyroid Hormones