Open AccessOrofacial manifestations of congenital hypothyroidism: Clinicoradiological case report
Author(s) -
Gundareddy N. Suma,
Manisha Lakhanpal,
Manu Dhillon,
Siddharth Srivastava
Publication year - 2014
Publication title -
journal of indian academy of oral medicine and radiology
Language(s) - English
Resource type - Journals
eISSN - 0975-1572
pISSN - 0972-1363
DOI - 10.4103/0972-1363.141876
Subject(s) - medicine , epiphysis , short stature , congenital hypothyroidism , ossification , thyroid , hypotonia , bone age , pediatrics , surgery , endocrinology
Thyroid disorders have a widespread effect on the ossification of cartilage, growth of teeth, facial contour, and overall body proportions. Both growth hormones and thyroid hormones show permissive action on growth stimulation. Deregulation in thyroid homeostasis can result in various orofacial and skeletal abnormalities. This report describes a case of congenital hypothyroidism in a 20-year-old female patient, presenting with a short stature, hypotonia, alopecia, euryprosopic face with puffiness, multiple retained deciduous teeth, delayed fusion of the intracranial sutures, and epiphysis and diaphysis of the long bones. Based on various biochemical and radiographic investigations, diagnosis of congenital hypothyroidism was established. Craniometry and hand-wrist radiographic evaluation of the growth pattern further aided in strengthening the diagnosis