GuidelinesPrimary Care STG
Hypothyroidism in Neonates
Hypothyroidism
ICD-10 Code: E03.0-5/E03.8-9
DESCRIPTION
- Congenital deficiency of thyroid hormone due to aplasia/ hypoplasia of the thyroid gland, defects in thyroid hormone biosynthesis or intrauterine exposure to antithyroid medicines
- Congenital hypothyroidism is one of the common treatable causes of preventable mental retardation in children. Congenital hypothyroidism must be treated as early as possible to avoid intellectual impairment
DIAGNOSIS
Clinical
- Prolonged jaundice
- Feeding difficulties
- Lethargy
- Constipation
- Swollen hands, feet and genitals
- Decreased muscle tone
- Delayed achievement of milestones
- Enlarged tongue
REFERRAL
- All patients for investigation and initiation of therapy
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, 2024 Edition
ICD-10 codes
- E03.0Congenital hypothyroidism with diffuse goitre
- E03.1Congenital hypothyroidism without goitre
- E03.2Hypothyroidism due to medicaments and other exogenous substances
- E03.3Postinfectious hypothyroidism
- E03.4Atrophy of thyroid (acquired)
- E03.5Myxoedema coma
- E03.8Other specified hypothyroidism
- E03.9Hypothyroidism, unspecified