What should be used for the treatment of this child with intellectual disability?: (A) Biotin, (B) Hydroxocobalamin, (C) Pyridoxine, (D) Thyroxine
Answer is D. The given picture of the child with puffy (myxedematous) facies, protruding tongue, abdominal distension, umbilical hernia and intellectual disability suggest - 'congenital hypothyroidism'. C/F of congenital hypothyroidism: Bih weight & length- usually normal Wide open anterior & posterior fontanelle Prolonged physiological jaundice Myxedematous facies Large, protruded tongue Skin- dry & scaly Hypotonia, hypothermia, hoarse cry Abdominal distension, umbilical hernia Constipation Thyroxine is used in the treatment of this disorder.