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학습 자료 둘러보기 →The most concerning early sign of congenital hypothyroidism is prolonged jaundice lasting beyond 2 weeks. This occurs because thyroid hormone is necessary for the maturation of liver enzymes responsible for bilirubin conjugation.
Other early clues may include a hoarse cry, constipation, large fontanelles, and hypotonia. Classic signs like coarse facies and developmental delay appear later.
Do not dismiss prolonged jaundice as solely breastfeeding-related. Always rule out pathological causes, especially congenital hypothyroidism, as early treatment prevents irreversible neurocognitive impairment.
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