Term Neonate with Respiratory Distress Syndrome Secondary to Congenital Hypothyroidism

  • Ganesh Maniam TTUHSC
  • Ryan Dean TTUHSC School of Medicine at Amarillo
  • Ryan Dean TTUHSC School of Medicine at Amarillo
  • Prisca Pungwe TTUHSC School of Medicine at Amarillo
  • Abigail Batson TTUHSC School of Medicine at Amarillo
  • Shola Tijani TTUHSC School of Medicine at Amarillo
  • Olu Adesanya TTUHSC School of Medicine at Amarillo
Keywords: pediatrics, neonatology, ccongenital hypothyroidism, respiratory distress syndrome, newborn screen


Congenital hypothyroidism presents with characteristic symptoms within the first few months of life: constipation, jaundice, poor feeding, hoarse cry, macroglossia, and hypotonia. However, these symptoms are rare immediately upon delivery, as most neonates are asymptomatic at birth. Therefore, the newborn screens are essential in detecting congenital hypothyroidism, but there are rare cases in which congenital hypothyroidism can be missed or present before the first newborn screen. This paper presents a case of respiratory distress syndrome in a term neonate as the presenting symptom of congenital hypothyroidism. Overall, clinicians should be aware that neonatal respiratory distress can indeed be caused by congenital hypothyroidism, though more common etiologies should be ruled out following stabilization of the patient. Congenital hypothyroidism is an endocrinopathy that may present prior to the onset of symptoms at 3 months or may even present as respiratory distress syndrome prior to the results of the newborn screens. A discussion of this rare case may help physicians in the recognition and treatment of respiratory distress syndrome due to hypothyroidism.

Author Biography

Olu Adesanya, TTUHSC School of Medicine at Amarillo
Senior author


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How to Cite
Maniam, G., Dean, R., Dean, R., Pungwe, P., Batson, A., Tijani, S., & Adesanya, O. (2020). Term Neonate with Respiratory Distress Syndrome Secondary to Congenital Hypothyroidism. International Journal of Integrative Pediatrics and Environmental Medicine, 5(1), 30 -33. https://doi.org/10.36013/ijipem.v5i1.84