"If hypothyroidism occurs in older children, the ill effects are easier to reverse if detected in time. Hypothyroidism stunts brain development, physical growth, and puberty. In the most severe form – a cretin – is a short, dull, slow, heavy child, with a pale puffy face, hoarse voice, doughy skin, tired and lethargic; maybe constipated, maybe with a neck swelling. Usually all the signs and symptoms are not present – it has to be suspected and tested for. Children with autoimmune diseases like diabetes and wheat allergy are more prone to hypothyroidism, and need regular testing," Dr Virmani points out.
