Untreated congenital hypothyroidism in limping child: A rare case with epiphyseal dysgenesis and vertebral anomaly

Abstract

Hypothyroidism associated with skeletal abnormalities are uncommon these days due to early neonatal screening. In low demanding low socio-economic group in later age of the life, may present with advanced epiphyseal dysgenesis or dysplasia associated with abnormal vertebrae. This many of time confuses with other diagnosis if thyroid profile is not detect. Later in age these children may presented with limping gait along with restricted motion. Primary survey of radiographic images often misdiagnosed as perthes or Slipped capital femoral epiphyseal (SCFE) or multiple epiphyseal dysplasia if history is not clear. Therefore, it is wise to raise suspicion on thyroid profile derangement of the child presenting with painless limping gait with restricted motions, along with atypical dysplastic hip joint or bullet shape vertebrae. The following case is reported because there was no associated dwarfism, delayed milestone and apparently no familial achondroplastic trait.