8 years. old child presents with lethargy multiple epiphyseal breaks, wormian bones with growth retardation and mental retardation Diagnosis is –
Correct Answer: Hypothyroidism
Description: Multiple epiphyseal breaks, wormian bones with lethargy, growth retardation and mental retardation suggest the diagnosis of hypothyroidism.
X-ray findings of hypothyroidism
Delayed appearance of epiphysis
Multiple foci of ossification → Epiphyseal dysgenesis
Epiphyseal breaking of 12th thoracic and 1st or 2nd lumbar vertebrae.
Skull →
Large fontanelle
Wide sutures
Wormian bones
Enlarged & rounded sella turcica
Delayed dentition
Category:
Pediatrics
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