Abstract
THE HIGH INCIDENCE of prolonged neonatal jaundice in infants with congenital hypothyroidism, documented by Aakerren<sup>1</sup>and confirmed by Christensen,<sup>2</sup>requires reemphasis. Since jaundice may be the first sign of congenital hypothyroidism,<sup>3</sup>this possibility must be kept in mind in the investigation of any case of jaundice in infancy. Only by maintaining a high index of suspicion will such infants be recognized early enough to enhance the possibility for normal mental as well as physical development. The following case emphasizes this fact. <h3>Report of a Case</h3> This female infant was delivered by low forceps at term. The mother, aged 20 years, had a pregnancy complicated by pyelitis which responded promptly to nitrofurantoin (Furadantin). At birth the infant weighed 8 lb 1/4 oz (3,636 gm), was 19 1/2 inches (49.5 cm) long, and had no abnormalities on initial examination. During her stay in the nursery no jaundice was noted,
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