Severe hypothyroidism after contrast enema in premature infants.

Abstract:

:Premature newborns are particularly vulnerable to iatrogenic hypothyroidism due to iodine exposure, usually through skin absorption of iodine-containing disinfectants or intravenous administration of iodinated contrast agents. We report here a case of severe iatrogenic hypothyroidism with goiter and cholestasis, discovered six weeks after a contrast enema using sodium ioxitalamate, an iodinated contrast agent. Prematurity, intrauterine growth retardation, and enteral feeding intolerance could explain why this complication occurred after contrast enema. Our observations suggest that indications of contrast enema in neonates need to be carefully considered, and when necessary, thyroid function should be monitored, especially in very premature infants.

journal_name

Eur J Pediatr

authors

Lombard F,Dalla-Vale F,Veyrac C,Plan O,Cambonie G,Picaud JC

doi

10.1007/s00431-008-0782-2

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

499-500

issue

4

eissn

0340-6199

issn

1432-1076

journal_volume

168

pub_type

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