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Dyshormonogenesis seems to be more frequent in a group of Cameroonian children with congenital hypothyroidism

  • Suzanne Ngo Um Sap EMAIL logo , Paul Koki , Felicité Nguefack Dongmo , Louis De Djob , Annie Tedga , Hubert Mbassi Awa , David Chelo and Angeline Boula
Published/Copyright: May 30, 2015

Abstract

Congenital hypothyroidism is a main congenital endocrine disorder, affecting 1 in 4000 births. It is not well described in sub-Saharan countries, and to draw attention to that issue, we decided to describe affected pediatric patients. We retrospectively analyzed the records of eight patients over a period of 6 years. We analyzed clinical sings of hypothyroidism and psychomotor development; hormonal assays and thyroid ultrasound were performed. We included four boys and four girls aged from 3 to 84 months at diagnosis with a median thyroid-stimulating hormone (TSH) level of 156.5 mUI/L. All except one present with a moderate psychomotor delay. Other clinical signs were classical for hypothyroidism. Thyroid ultrasound performed showed a goiter in half of patients, a normal gland in three of them and a hypoplasic gland in the last one, consonant with dyshormonogenesis. We therefore concluded that dyshormonogenesis seems to be more frequent in our context, and this raised the issue of neonatal screening of hypothyroidism in Africa.


Corresponding author: Suzanne Ngo Um Sap, Mother and Child Center of Chantal Biya Foundation, Yaounde, Cameroon; and Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon, E-mail:

References

1. Deladoëy J, Ruel J, Giguére Y, Van Vliet G. Is the incidence of congenital hypothyroidism really increasing? A 20-year retrospective population-based study in Québec. J Clin Endocrinol Metab 2011;96:2422–9.10.1210/jc.2011-1073Search in Google Scholar

2. Léger J. Congenital hypothyroidism. Rev Prat 1998;48:2001–5.Search in Google Scholar

3. LaFranchi SH. Approach to the diagnosis and treatment of neonatal hypothyroidism. J Clin Endocrinol Metab 2011;96:2959–67.10.1210/jc.2011-1175Search in Google Scholar

4. Toublan JE. Comparison of epidemiological data on congenital hypothyroidism in Europe with those of other parts in the world. Horm Res 1992;38:230–5.10.1159/000182549Search in Google Scholar

5. Carranza D, Van Vliet G, Polak M. Congenital Hypothyroidism. Ann Endocrinol 2006;67:295–302.10.1016/S0003-4266(06)72601-4Search in Google Scholar

6. Stoppa-Vaucher S, Van Vliet G, Deladoëy J. Variation by ethnicity in the prevalence of congenital hypothyroidism due to thyroid dysgenesis. Thyroid 2011;21:13–8.10.1089/thy.2010.0205Search in Google Scholar

7. Taga I, Oumbe VA, Johns R, Zaidi MA, Ngogang Yonkeu J, et al. Youth of west-Cameroon are at high risk of developing IDD due to low dietary iodine and high dietary thiocyanate. Afr Health Sci 2008;8:180–5.Search in Google Scholar

8. Sidibé EH, Fall L, Sow AM. Clinical characteristics of primary hypothyroidism in Dakar. A propos of 37 observations. Santé 1997;7:291–4.Search in Google Scholar

9. Djrolo F, Houngbé F, Attolou V, Hountondji B, Quenum K, et al. Hypothyroidism: clinical and etiological aspects in Cotonou (Republic of Benin). Santé 2001;11:245–9.Search in Google Scholar

10. Dehayem YM. Dysthyroidism in Yaounde: clinical, etiological and therapeutic aspects. Ph.D. dissertation. University of Yaounde I, Yaounde, Cameroon, 2004.Search in Google Scholar

11. Adeniran KA, Okolo AA, Onyiriuka AN. Thyroid profile of term appropriate for gestational age neonates in Nigeria: a forerunner to screening for congenital hypothyroidism. J Trop Pediatr 2010;56:329–32.10.1093/tropej/fmp143Search in Google Scholar

12. Das SC, Isichei UP, Otokwula AA, Emokpae MA, Mohammed AZ. Neonatal chemical hypothyroidism in Nigeria. Ann Trop Peadiatr 2004;24:237–40.10.1179/027249304225018975Search in Google Scholar

13. Ehrenkranz J, Fualal J, Ndizihiwe A, Clarke I, Alder S. Neonatal age and point of care TSH testing in the monitoring of iodine deficiency disorders: findings from western Uganda. Thyroid 2011;21:183–8.10.1089/thy.2009.0358Search in Google Scholar

14. Feleke Y, Enquoselassie F, Deneke F, Abdulkadir J, Hawariat GW, et al. Neonatal congenital hypothyroidism screening in Addis Ababa, Ethiopia. East Afr Med J 2000;77:377–8.Search in Google Scholar

15. World Health Organization. The WHO child growth standards. Available at: http://www.who.int/childgrowth/standards/en/.Search in Google Scholar

16. Frankenburg WK, Dodds JB. The Denver developmental screening test. Pediatrics 1967;71:181–91.10.1016/S0022-3476(67)80070-2Search in Google Scholar

17. Tal A. Childhood Hypothyroidism. A propos of 7 observations. Thesis of medicine. University of Dakar, 1982.Search in Google Scholar

18. Tahirović H, Toromanović A. Neonatal screening for congenital hypothyroidism in the Federation of Bosnia and Herzegovina: eight years’ experience. Eur J Pediatr 2009;168:629–31.10.1007/s00431-008-0801-3Search in Google Scholar PubMed

19. Al Hosani H, Salah M, Osman HM, Farag HM, El Assiouty L, et al. Expanding the comprehensive national neonatal screening programme in the United Arab Emirates from 1995 to 2011. East Mediterr Health J 2014;11:20:17–23.10.26719/2014.20.1.17Search in Google Scholar

20. Hashemipour M, Ghasemi M, Hovsepian S, Heiydari K, Sajadi A, et al. Etiology of congenital hypothyroidism in Isfahan: does it different? Adv Biomed Res 2014;9:3–21.10.4103/2277-9175.124658Search in Google Scholar PubMed PubMed Central

21. Dorreh F, Chaijan PY, Javaheri J, Zeinalzadeh AH. Epidemiology of congenital hypothyroidism in Marzaki province, Iran. J Clin Res Pediatr Endocrinol 2014;6:105–10.10.4274/jcrpe.1287Search in Google Scholar PubMed PubMed Central

22. Ramos JC, Lacerda Filho LD, DeMartini Ade A, Silveira RB, Pereira RM, et al. Clinical and laboratory features of children and adolescents with congenital hypothyroidism due to dyshormonogenesis in southern Brazil. Arq Bras Endocrinol Metab 2012;56:201–8.10.1590/S0004-27302012000300009Search in Google Scholar

23. Howard D, La Rosa FG, Huang S, Salvatore D, Mulcahey M, et al. Consumptive hypothyroidism resulting from hepatic vascular tumors in an athyreotic adult. J Clin Endocrinol Metab 2011;96:1966–60.10.1210/jc.2010-2104Search in Google Scholar PubMed PubMed Central

24. Çetinkaya S, Kendirci HN, Agladioglu SY, Bafl VN, Özdemir S, et al. Hypothyroidism due to hepatic hemangioendothelioma: a case report. J Clin Res Ped Endo 2010;2:126–30.10.4274/jcrpe.v2i3.126Search in Google Scholar PubMed PubMed Central

25. Grasberger H, Refetoff S. Genetic causes of congenital hypothyroidism due to dyshormonogenesis. Curr Opin Pediatr 2011;23:421–8.10.1097/MOP.0b013e32834726a4Search in Google Scholar PubMed PubMed Central

26. National Institute of Statistics and ORC Macro. National Health Survey of Cameroon. Available at: http://www.measuredhs.com/publications/publication-FR133-DHS-Final-Reports.cfm.Search in Google Scholar

Received: 2014-12-4
Accepted: 2015-4-9
Published Online: 2015-5-30
Published in Print: 2015-9-1

©2015 by De Gruyter

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