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Table 6B. Signs and Symptoms of Fetal and Neonatal
Hypothyroidism
Fetus Neonate
a
• Goiter, which may be accompanied by
hyperextensions of the neck and tracheal
compression
• Polyhydramnios
• Delayed bone maturation
• Dull look
• Puffy facial features
• Thickened tongue
• Poor feeding
• Constipation
• Short stature and/or failure to grow
• Poor muscle tone
a
Only a minority of neonates are diagnosed with congenital hypothyroidism based on clinical
findings, highlighting the importance of systematic neonatal screening.
