What should be used for the treatment of this child with intellectual disability?
The given picture of the child with puffy (myxedematous) facies, protruding tongue, abdominal distension, umbilical hernia and intellectual disability suggest - 'congenital hypothyroidism'. C/F of congenital hypothyroidism: Bih weight & length- usually normal Wide open anterior & posterior fontanelle Prolonged physiological jaundice Myxedematous facies Large, protruded tongue Skin- dry & scaly Hypotonia, hypothermia, hoarse cry Abdominal distension, umbilical hernia Constipation Thyroxine is used in the treatment of this disorder.
Biotin
Hydroxocobalamin
Pyridoxine
Thyroxine
Abnormalities of Development