Autoimmune Thyroid Diseases in Children

Table 1

Symptoms and signs of overt hypothyroidism.

Goiter
Poor linear growth with increased weight for height
Bone maturation delay
Pubertal disorders (pubertal delay or pseudoprecocious
puberty)
Irregular menstrual periods
Lethargy and/or impaired school performance
Fatigue
Bradycardia and decreased cardiac output
Constipation
Cold intolerance
Hypothermia
Fluid retention and weight gain (due to impaired renal
free water clearance)
Puffiness of the face
Dry skin
Increased body hair
Delayed relaxation phase of the deep tendon reflexes