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. 1994 Jun;70(6):464–468. doi: 10.1136/adc.70.6.464

Growth in early treated congenital hypothyroidism.

D B Grant 1
PMCID: PMC1029861  PMID: 8048812

Abstract

The growth of 361 children with congenital hypothyroidism diagnosed by screening was assessed by estimating mean values for height, weight, body mass index (BMI), and head circumference on each birthday up to the age of 4 years. In the group of children with severe congenital hypothyroidism (pretreatment plasma thyroxine < or = 30 nmol/l), the mean heights at 1 and 2 years were less than standards for healthy children, but this may be due to technical factors related to difficulties in measuring young infants and the method used to estimate height on each birthday. By the age of 3-4 years the values for mean height in the children with either severe or less severe congenital hypothyroidism were equal to or greater than those for healthy children. At all ages mean head circumference in boys and girls with severe congenital hypothyroidism was greater than standards for healthy children, but this only reached statistical significance in girls at 1 year. With the exception of the results for boys at 1 year, mean values for BMI were slightly greater in the children with severe congenital hypothyroidism. The mean BMI results for children with either severe or less severe congenital hypothyroidism were significantly greater than those for healthy French children at all ages, but they showed the same trends with increasing age. It is concluded that by the age of 3-4 years stature is essentially normal in children with early treated congenital hypothyroidism but that the increased head size reported before screening may still be evident in early infancy.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aronson R., Ehrlich R. M., Bailey J. D., Rovet J. F. Growth in children with congenital hypothyroidism detected by neonatal screening. J Pediatr. 1990 Jan;116(1):33–37. doi: 10.1016/s0022-3476(05)81641-5. [DOI] [PubMed] [Google Scholar]
  2. Bucher H., Prader A., Illig R. Head circumference, height, bone age and weight in 103 children with congenital hypothyroidism before and during thyroid hormone replacement. Helv Paediatr Acta. 1985 Sep;40(4):305–316. [PubMed] [Google Scholar]
  3. Burt L., Kulin H. E. Head circumference in children with short stature secondary to primary hypothyroidism. Pediatrics. 1977 Apr;59(4):628–630. [PubMed] [Google Scholar]
  4. Fisher D. A., Foley B. L. Early treatment of congenital hypothyroidism. Pediatrics. 1989 May;83(5):785–789. [PubMed] [Google Scholar]
  5. Frost G. J., Parkin J. M. Management of patients with congenital hypothyroidism. Br Med J (Clin Res Ed) 1985 May 18;290(6480):1485–1489. doi: 10.1136/bmj.290.6480.1485. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Grant D. B., Smith I., Fuggle P. W., Tokar S., Chapple J. Congenital hypothyroidism detected by neonatal screening: relationship between biochemical severity and early clinical features. Arch Dis Child. 1992 Jan;67(1):87–90. doi: 10.1136/adc.67.1.87. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Grant D. B., Smith I. Survey of neonatal screening for primary hypothyroidism in England, Wales, and Northern Ireland 1982-4. Br Med J (Clin Res Ed) 1988 May 14;296(6633):1355–1358. doi: 10.1136/bmj.296.6633.1355. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hulse J. A., Grant D. B., Jackson D., Clayton B. E. Growth, development, and reassessment of hypothyroid infants diagnosed by screening. Br Med J (Clin Res Ed) 1982 May 15;284(6327):1435–1437. doi: 10.1136/bmj.284.6327.1435. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Karlberg J., Engström I., Karlberg P., Fryer J. G. Analysis of linear growth using a mathematical model. I. From birth to three years. Acta Paediatr Scand. 1987 May;76(3):478–488. doi: 10.1111/j.1651-2227.1987.tb10503.x. [DOI] [PubMed] [Google Scholar]
  10. Leger J., Czernichow P. Congenital hypothyroidism: decreased growth velocity in the first weeks of life. Biol Neonate. 1989;55(4-5):218–223. doi: 10.1159/000242920. [DOI] [PubMed] [Google Scholar]
  11. Moschini L., Costa P., Marinelli E., Maggioni G., Sorcini Carta M., Fazzini C., Diodato A., Sabini G., Grandolfo M. E., Carta S. Longitudinal assessment of children with congenital hypothyroidism detected by neonatal screening. Helv Paediatr Acta. 1986 Dec;41(5):415–424. [PubMed] [Google Scholar]
  12. Ounsted M., Moar V. A., Scott A. Head circumference charts updated. Arch Dis Child. 1985 Oct;60(10):936–939. doi: 10.1136/adc.60.10.936. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Pantsiouou S., Stanhope R., Uruena M., Preece M. A., Grant D. B. Growth prognosis and growth after menarche in primary hypothyroidism. Arch Dis Child. 1991 Jul;66(7):838–840. doi: 10.1136/adc.66.7.838. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Rivkees S. A., Bode H. H., Crawford J. D. Long-term growth in juvenile acquired hypothyroidism: the failure to achieve normal adult stature. N Engl J Med. 1988 Mar 10;318(10):599–602. doi: 10.1056/NEJM198803103181003. [DOI] [PubMed] [Google Scholar]
  15. Rolland-Cachera M. F., Cole T. J., Sempé M., Tichet J., Rossignol C., Charraud A. Body Mass Index variations: centiles from birth to 87 years. Eur J Clin Nutr. 1991 Jan;45(1):13–21. [PubMed] [Google Scholar]
  16. Tanner J. M., Whitehouse R. H., Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. II. Arch Dis Child. 1966 Dec;41(220):613–635. doi: 10.1136/adc.41.220.613. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Thompson G. N., McCrossin R. B., Penfold J. L., Woodroffe P., Rose W. A., Robertson E. F. Management and outcome of children with congenital hypothyroidism detected on neonatal screening in South Australia. Med J Aust. 1986 Jul 7;145(1):18–22. doi: 10.5694/j.1326-5377.1986.tb113734.x. [DOI] [PubMed] [Google Scholar]

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