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Congenital Hypothyroidism

Etiology

  • Thyroid gland malformation:
    • Agenesis: Absent thyroid gland
    • Dysgenesis: Ectopic (e.g., sublingual) or incorrectly formed (e.g., hemigland) thyroid
  • Dyshormonogenesis:
    • 15 known defects of thyroxine (T4) synthesis, including those in iodide transport and iodide organification
  • Transient hypothyroidism:
    • Maternal ingestion of antithyroid drugs
    • Transplacental transfer of maternal antithyroid antibodies (can be transient or permanent damage)
    • Exposure to high levels of iodine povidone, betadine in neonatal period