Case report: consumptive hypothyroidism consequent to multiple infantile hepatic haemangiomas
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Yoon Hi Cho1, Craig Taplin, Albert Mansour
1Institute of Endocrinology and Diabetes, The Children's Hospital at Westmead, Sydney, Australia.
Insights
Screening infants with hemangiomas for hypothyroidism is crucial. Early diagnosis and treatment, potentially with prednisolone, can improve outcomes for affected infants.
Area of Science:
- Pediatric Endocrinology
- Neonatal Medicine
- Dermatology
Background:
- Infantile hemangiomas are common benign vascular tumors in infants.
- Developmental delay can occur in infants with complex medical conditions.
- Hypothyroidism is a treatable endocrine disorder with significant developmental consequences.
Observation:
- A 10-month-old infant presented with multiple infantile hepatic hemangiomas and developmental delay.
- The infant was diagnosed with profound hypothyroidism.
- This case highlights a potential association between infantile hemangiomas and hypothyroidism.
Findings:
- Screening for hypothyroidism in infants with hemangiomas is essential for early detection.
- Prompt management of hypothyroidism is critical to prevent long-term developmental issues.
- Prednisolone therapy may offer therapeutic benefits in managing infantile hemangiomas.
Implications:
- This case underscores the need for a multidisciplinary approach in managing infants with complex conditions.
- Early screening protocols can improve diagnostic rates for congenital hypothyroidism.
- Further research into the link between vascular anomalies and endocrine disorders is warranted.
Abstract:
A 10-month-old infant with multiple infantile hepatic hemangiomas and developmental delay is reported. He was found to be profoundly hypothyroid. Evaluation and management issues are discussed. This case emphasizes the importance of screening for hypothyroidism in patients with hemangiomas and the potential therapeutic benefit of prednisolone therapy in this condition.
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