Monatsschr Kinderheilkd. 1993 Jun; 141(6): 481-2.

[Hypothyroid iodine deficiency struma in 2 siblings as a sequela of alternative nutrition]

Krull F, Ohlendorf K.

Abteilung Kinderheilkunde II, Pädiatrische Nieren- und Stoffwechselerkrankungen, Medizinischen Hochschule Hannover.

Two siblings aged 4 and 7 years presented with a goitre and growth retardation. Laboratory data revealed hypothyroidism with elevated TSH, low T4 und T3, and a decreased urinary iodine excretion. Both children suffered from neurodermitis and because of that for already two years on a vegetarian diet free of any milk products; their nutrition contained sufficient calories but not enough iodine or vitamin B.