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May 1965

Congenital Hypothyroid Goiter Simulating Cystic Hygroma

Author Affiliations

From the Palo Alto-Stanford Medical Center. Allergist, Santa Clara County Hospital (Dr. Trossman), and Clinical Assistant Professor, Surgery, Stanford Medical School (Dr. Jobe).

Am J Dis Child. 1965;109(5):462-466. doi:10.1001/archpedi.1965.02090020464017

THE CASE history of a 6-week-old female infant with a tumor of the right side of the neck is presented to demonstrate that the physical findings and clinical course of a hypothyroid goiter1-3 may imitate those of a cystic hygroma.4,5 Two signs of early cretinism are described.

Report of a Case  A 3.71 kg (8 lb ⅓ oz) female infant was born at the Palo Alto-Stanford Hospital on July 7, 1960. The infant was well developed, vigorous, and active. A small mucus retention cyst was observed on her lower right alveolar margin. Retrospective study of her newborn photograph (Fig 1) reveals a mild edema of her eyelids. By 2 weeks of age, moist rhonchi were heard when the infant breathed. The rhonchi were accentuated when the infant cried or sucked on her bottle. By 5 weeks of age, a swelling in the right side of the neck was

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