Abstract
Introduction: Hypothyroidism is a frequent glandular dysfunction, easy to be diagnosed by measuring the thyroid-Stimulating Hormone (TSH) level. One of its different causes is the annormal migration of thyroid cells during the embryyogenesis. Observation: This article reports a case of a four weeks newborn child presenting clinically by apparent hypothyroidism and a deficiency of thyroid hormones. The cervical palpation does not find the thyroid gland. The thyroid scintigraphy by the iodine 123 shows a median uptake between the normal place of thyroid gland and the tongue base. Furthermore, there is no uptake at thyroid position. A substitute treatment was quickly established to avoid the irreversible cerebral damage. Discussion: The ectopic thyroid is an important etiology of the congenital hypothyroidism. The thyroid scintigraphy is an interesting functional exam because the cervical ultrasonography is difficult to be realized for a newborn child and, it does not show highly situated ectopic celles. All these aims at appreciating the prognosis and reassuring the parents.
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