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Artículo en Inglés | IMSEAR | ID: sea-87232

RESUMEN

One hundred individuals suffering from Endemic Cretinism were studied. There were 55 males and 45 females. 62% of the cretins had visible goitre. Thirty nine (62.9%) goitrous cretins had grade II goitre. Neurological cretinism was the predominant type encountered (99%) and Myxoedematous cretinism was seen in only one patient. The most salient neurological feature was deaf-mutism seen in 74%. Findings in the motor system were, apart from deaf-mutism, the most characteristic feature of the condition on clinical examination. 58% had exaggerated deep tendon reflexes and 31% had extensor plantar response. Squint was noticed in 29%. Familial aggregation was noticed and was striking. Endemic cretinism is a distinctive and easily identifiable clinical entity and is an important indicator of the severity of iodine deficiency in a community.


Asunto(s)
Adolescente , Adulto , Niño , Preescolar , Análisis por Conglomerados , Hipotiroidismo Congénito/epidemiología , Estudios Transversales , Países en Desarrollo , Femenino , Bocio Endémico/epidemiología , Humanos , Incidencia , India/epidemiología , Lactante , Recién Nacido , Yodo/deficiencia , Masculino , Persona de Mediana Edad , Examen Neurológico , Embarazo
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