Ayşegül YALÇINKAYA İYİDAL, Fatma Arzu KILIÇ

Geç tanı alan konjenital hipotiroidli bir çocukta L-tiroksin tedavisi sonrası saç dökülmesi Hair loss after treatment with L-thyroxine in a child with a delayed diagnosis of congenital hypothyroidism

Giriş: Biz burada L-tiroksin tedavisi başlandıktan sonra saç dökülmesi şikayeti olan bu olguyla L-tiroksin tedavisinin nadir görülen yan etkisini sunmayı amaçladık Olgu: Polikliniğimize 3 yıl önce konjenital hipotiroidizm tanısı alan 13 yaşında bir kız hasta L-tiroksin tedavisi başlandıktan sonra difüz saç kaybı şikayeti nedeni ile başvurdu Tartışma: Biz bu olgu yoluyla konjenital hipotiroidi nedeni ile L-tiroksin replasman tedavisine başlandıktan sonra saç dökülmesinin izlenmesini belki de kıl siklusunda yer alan hormon ve büyüme faktörlerinin arasındaki dengenin bozulması sonucu oluşan bir yan etki olduğunu düşünmekteyiz.ABSTRACT Introduction: In this case report, we aimed to emphasize the rare side effect of L-thyroxine by describing the case who had suffered hair loss after being treated with L-thyroxine. Case report: A 13-year old girl was admitted to our clinic with diffuse hair loss which was stated to start after treatment with L-thyroxine. She was diagnosed with congenital hypothyroidism at 10 years of age. Discussion: We suggest that hair loss following L-thyroxine replacement therapy for congenital hypothyroidism in this case was due to the side-effect of therapy, which probably caused impairment in the balance between the effects of the hormones and growth factors in hair cycle.

Anahtar Kelimeler:

Konjenital hipotiroidi, L-tiroksin, saç dökülmesi, Congenital hypothyroidism, L-thyroxine, hair loss

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