Central congenital hypothyroidism caused by maternal thyrotoxicosis

BMJ Case Rep. 2018 Mar 22:2018:bcr2017222620. doi: 10.1136/bcr-2017-222620.

Abstract

Central congenital hypothyroidism (CCH) is a rare and underdiagnosed disease that sometimes is caused by maternal Graves' disease. We report a case of CCH caused by undiagnosed, initially antibody-negative maternal thyrotoxicosis with possible disruption of fetal hypothalamic-pituitary-thyroid axis maturation. In CCH, maternal thyroid disease should be considered.

Keywords: endocrinology; neonatal health; paediatrics.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Congenital Hypothyroidism / blood
  • Congenital Hypothyroidism / diagnosis*
  • Congenital Hypothyroidism / drug therapy
  • Diagnosis, Differential
  • Female
  • Humans
  • Infant, Newborn
  • Postnatal Care
  • Pregnancy
  • Pregnancy Complications / blood
  • Pregnancy Complications / diagnosis
  • Thyrotoxicosis / blood
  • Thyrotoxicosis / diagnosis
  • Thyroxine / therapeutic use

Substances

  • Thyroxine