Pacín Mirta
Clínica Materno Infantil San Lucas, Neuquén, Neuquén.
Arch Argent Pediatr. 2009 Feb;107(1):53-6. doi: 10.1590/S0325-00752009000100012.
We present a 5 years 8 months old girl with severe hyperlipidemia (high total cholesterol, and low density lipoprotein values, and also, ectopic fat pericardial deposit). She was treated with diet and cholestyramine, without diagnosis of her disease etiology. Growth detention, weight loss, retarded bone age and clinical signs of hypometabolism were recorded. Thyroid profile confirms hypothyroidism diagnosis. Based on positive anti-thyroid antibodies and clearly reduced thyroid volume, a diagnosis of autoimmune atrophic thyroiditis was made, a very unusual pathology in early infancy. Linear growth was affected by late diagnosis.
我们报告一名5岁8个月大的女孩，患有严重高脂血症（总胆固醇和低密度脂蛋白值升高，还有心包异位脂肪沉积）。她接受了饮食和消胆胺治疗，但未明确疾病病因。记录到生长发育迟缓、体重减轻、骨龄延迟和低代谢的临床体征。甲状腺功能检查确诊为甲状腺功能减退症。基于抗甲状腺抗体阳性和甲状腺体积明显减小，诊断为自身免疫性萎缩性甲状腺炎，这在婴儿早期是一种非常罕见的病理情况。生长发育受诊断延迟的影响。
