The features of neonatal hypehyroidism include all except: (A) Triangular facies with craniosynostosis, (B) Congestive cardiac failure, (C) Advanced osseous maturation, (D) Goiter is rare
Answer is D. The diagnosis is confirmed by the demonstration of elevated serum free T4 and T3 levels.The presence of goiter infiltrative eye signs and hypehyroidism is suggestive of Grave&;s disease. Absence of goiter should raise the possibility of transient hypehyroidism as a pa of autoimmune thyroiditis. Reference: OP Ghai,essential paediatrics,8 th edition,page no 520