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Neck mass: an obstructive cause of respiratory distress with medical management

Vijay Singh1, Aakash Pandita1, Girish Gupta1

  • 1Department of Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

BMJ Case Reports
|December 4, 2017
PubMed

Insights

Congenital goitre, a thyroid issue in newborns, can cause hypothyroidism. Early hormonal replacement therapy resolved a preterm infant's goitre and normalized thyroid function.

Area of Science:

  • Endocrinology
  • Neonatology
  • Pediatric Surgery

Background:

  • Congenital goitre is a significant cause of congenital hypothyroidism in newborns.
  • Causes include impaired thyroxine synthesis or maternal antithyroid drug use during pregnancy.

Observation:

  • A preterm male infant presented with an antenatally detected goitre, manifesting as a neck mass.
  • The infant was diagnosed with congenital hypothyroidism at birth.

Findings:

  • Immediate postnatal hormonal replacement therapy was initiated.
  • This treatment led to the resolution of the neck mass.
  • Thyroid function normalized following the hormonal therapy.

Implications:

  • Early diagnosis and intervention are crucial for managing congenital goitre and hypothyroidism.
  • Hormonal replacement therapy is effective in resolving goitre and normalizing thyroid function in affected neonates.
  • This case highlights the importance of antenatal screening and prompt postnatal management.

Keywords:
materno-fetal medicineneonatal and paediatric intensive careneonatal health

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