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Congenital hypothyroidism presenting with severe neonatal anaemia

A 26 days old female neonate presented with abdominal distension, hoarse cry, difficulty in feeding since birth, and progressive paleness noticed over one week before her mother sought medical advice. On examination she was very pale with clinical features suggestive of congenital hypothyroidism. Conducted investigations revealed congenital hypothyroidism with severe macrocytic normochromic anaemia. The neonate improved with packed red cell transfusion and levothyroxine replacement therapy

Author(s): Prarthana Das, Debasis Sahu, Raja Ramalingam, Soma Venkatesh, Gunasekaran Dhandapany