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Clinical Pediatrics
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Mental Development of Infants With Congenital Hypothyroidism: A Longitudinal Study

Makiko Nakamizo, MD

Department of Medical Informatics, Niigata University Medical and Dental Hospital, Niigata City, Japan

Shin-ichi Toyabe, MD, PhD

Department of Medical Informatics, Niigata University Medical and Dental Hospital, Division of Pediatrics, Department of Homeostatic Regulation and Development, Niigata Graduate School of Medical and Dental Sciences, Niigata University, Niigata City, Japan

Tadashi Asami, MD, PhD

Department of Nursing, Niigata Seiryo University, Niigata City, Japan

Kouhei Akazawa, PhD

Department of Medical Informatics, Niigata University Medical and Dental Hospital, Niigata City, Japan

The purpose of this study was to assess the relationship between the clinical findings before starting treatment and the development quotient in children treated for congenital hypothyroidism. Patients with congenital hypothyroidism (n = 129) were divided into favorable and unfavorable groups according to intellectual performance. Children with congenital hypothyroidism generally have a similar intellectual outcome to that of healthy children. However, a low birth weight, the presence of complications, and a high serum thyroid-stimulating hormone value are the risk factors for unfavorable cases, who consistently have a development quotient score of less than 100.

Key Words: congenital hypothyroidism • thyroid-stimulating hormone • developmental quotient score

Clinical Pediatrics, Vol. 46, No. 1, 53-58 (2007)
DOI: 10.1177/0009922806289326


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