Diabetes Research and Clinical Practice - Volume 120 - Supplement 1

premature female infant developed severe hypothyroidism

due to diffused hepatic hemangiomas. At 3 days, a routine

thyroid-stimulating hormone (TSH) screening test was

normal. Nevertheless, the sizes and numbers of cutaneous

hemangiomas were rapidly progressive after birth. At 4 weeks,

she had poor feeding, lethargy, jaundice and constipation.

Extremely high level of TSH, low levels of T3 and T4, and

inappropriately high level of reversed T3 pointed to con-

sumptive hypothyroidism. Abdominal image demonstrated

multiple hepatic hemangiomas causing severe hepatomegaly.

With the treatment of levothyroxine and propranolol, her

thyroid function improved concurrently with significant

involution of the hepatic hemangiomas at the age of 6

months. This case highlighted repeated thyroid function and

image of abdomen are crucial, especially when encountering

infants presenting simultaneously with rapid growth of

cutaneous hemangiomas and unexplained symptoms of

hypothyroidism.

Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65

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S211