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Acta Paediatr. 2006 Nov;95(11):1345-8.

Goitrous congenital hypothyroidism in a twin pregnancy causing respiratory obstruction at birth: implications for management.

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  • 1Yorkhill Division, Queen Mother's Hospital, Glasgow, UK. pinkdoc@doctors.net.uk

Abstract

We report a twin pregnancy complicated by fetal goitrous hypothyroidism secondary to dyshormonogenesis caused by thyroglobulin deficiency. Antenatal treatment with intra-amniotic thyroxine was considered but not performed, given the late gestational age at diagnosis and the multiple nature of the pregnancy. Both twins developed airway obstruction at delivery, requiring intubation and ventilation. We review the literature and describe the practical issues relating to the antenatal assessment and perinatal management of fetal goitre.

PMID:
17062458
DOI:
10.1080/08035250600711074
[PubMed - indexed for MEDLINE]
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