Doctor insights on:
Is There A Difference Between Cretinism And Congenital Hypothyroidism
Yes: Cretinism is an old description of children with growth stunning due to profound hypothyroidism, either congenital or acquired who go untreated. Their physical appearance is quite unique but now seldom encountered due to new born screening and early detection. I myself have not seen a case during my entire fellowship period ! it is present in other parts of the world where newborn screen is absent. ...Read moreSee 2 more doctor answers
Congenital hypothyroidism is a medical condition in which babies have low levels of thyroid hormone. Thyroid hormone is crucial for development, especially development of the brain, and lack of thyroid hormone can lead to mental retardation. Causes of congenital hypothyroidism include the failure of the thyroid gland to form (agenesis) or immature brain to gland signaling. Treatment via thyroid hormone ...Read more
Old term vs new: Cretinism is a term used before testing helped sort out many of the causes of mental retardation that affected infants and children. It was broadly applied to many with profound retardation and developmental delay. Many were found to have congenital hypothyroidism, some down syndrome or other problems.For many it became jargon for profoundly retarded. The term cretin is rarely used today. ...Read more
Yes: Cretinism or cretin was the term years ago to describe infants with the constellation of symptoms expressed in untreated congenital hypothyroidism.The term is a bit archaic, and has a derogatory connotation attached to its use.I seldom see the term used any more & haven't seen it in research literature in decades. ...Read moreSee 1 more doctor answer
Old term: The term cretin is an old term often used as a slang for the mentally defective kids in foundling homes or institutions.It arose at a time before laboratory testing found that many had congenital hypothyroidism. The term furfuraceous cretin was often a subtype ascribed to kids with down syndrome. Present scientific papers and discussions rarely use the term any more. ...Read more
Genetic & sporadic: Hi. Congenital hypothyroidism left untreated is disastrous for the patient (cretinism). In the US, we screen all neonates for hypothyroidism. The only patient with cretinism I've seen was born in Mexico, where they don't screen neonates; it was tragic. There are known genes that can cause congenital hypothyroidism either in the homozygous recessive state or heterozygous dominant state. Screen!!! ...Read more
Most Definitely!: Congenital hypothyroidism is a medical emergency because postponing treatment may lead to mental retardation. The infant brain must have appropriate thyroid hormone levels for normal development. This is the reason we do newborn screening for this condition. The soonest we get treatment started, the better for the baby. ...Read moreSee 2 more doctor answers
Many: Depends on the age but for infants, they can have puffy face, dull look, thick tongue that sticks out. For toddlers and children, they can have constipation, dry, brittle skin, poor feeding, short height, sleepiness, fatigue, loss of muscle tone (floppy kids), choking epidodes, low hairline...This is a serious disease with serious lifetime consequences. It's easily checked by a blood test. ...Read moreSee 1 more doctor answer
Hypothyroidism is also known as Underactive thyroid. Level, which can cause fatigue increased sensitivity to cold constipation dry skin unexplained weight gain puffy face hoarseness muscle weakness elevated blood cholesterol level muscle aches, tenderness and stiffness pain, stiffness or swelling in your joints heavier than normal or irregular menstrual periods thinning hair slowed heart ...Read more
The thyroid makes thyroid hormone, the main one is t4, which is converted in other tissues to t3. An underactive thyroid makes too little thyroid hormone. You feel sluggish, bloated, constipated, cold. It is treated by taking replacement hormone levothyroxine. The thyroid also makes calcitonin, which is involved in calcium metabolism, but it is a weak hormone in ...Read more
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