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Maternal thyrotoxicosis causing central hypothyroidism in infants

Y S Lee1, K Y Loke, S C Y Ng

  • 1Department of Paediatrics, National University Hospital, Singapore. paeleeys@nus.edu.sg

We describe three infants born to mothers with poorly controlled Graves' disease, who developed transient central hypothyroidism in the immediate postnatal period. Suppression of the fetal pituitary-thyroid axis may be due to placental transfer of thyroxine from the hyperthyroid mother. This may persist for months postnatally, necessitating treatment to optimise neurodevelopmental outcome.

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