How to diagnose, prevent, and treat cretinism

Patient's question:

Born with a weight of 3.4 kilograms and a length of 50 centimeters, newborn screening suspected hypothyroidism, TSH test result was 10.5. Currently, my child's appetite, urination, and sleep are normal. No symptoms such as pale, thickened, and scaly skin, thick and large lips often protruding, mouth often open with drooling, pale or waxy yellow complexion, or a sunken nose bridge have appeared.

Doctor's answer:

Hypothyroidism is a type of thyroid dysfunction. Also known as cretinism. The thyroid dysfunction in this condition begins in the fetus or newborn. It is characterized by low body temperature in children, reduced crying and laughing, decreased activity, slow response, poor appetite, and no obvious physical or intellectual developmental delays. The child may appear dull, have sparse hair, facial edema, and an bulging abdomen. It is often accompanied by deafness. If not detected and treated in time, the child will show dwarfism and low intelligence, appearing foolish. If detected early and treated with thyroid hormone, the child's physical and intellectual development may be normal.

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