E03.0-5/E03.8-9
DESCRIPTION
Hypothyroidism in children causes decreased growth, lethargy, cold intolerance and dry skin. Physical signs may include goitre, short stature, bradycardia and delayed deep tendon reflexes.
Congenital hypothyroidism may present in childhood. Acquired hypothyroidism in children and adolescents may be caused by:
- chronic lymphocytic thyroiditis
- radioactive iodine
- iodine deficiency
- infiltrations
- surgery
DIAGNOSIS
Elevated TSH and low T4 concentrations.
MEDICINE TREATMENT
- Levothyroxine, oral, 100mcg/m² once daily, preferably on an empty stomach (Doctor initiated).
REFERRAL
All cases for investigation and initiation of therapy.