Case presentation A 13-year-old female presented to the Department of Oral Medicine and Radiology with chief complaints of teeth disorientation. The patient was the firstborn child of non-consanguinous healthy parents. She reportedly had gained weight abnormally after nine years of age and developed a hoarse voice.
Physical examination Overweight Short stature Stubby hands Poor muscle tone Puffy face Broad, flat nose and thick lips (Figure 1) Extraoral examination Dry and cool skin Intraoral examination Macroglossia Delayed fall of milk teeth Malocclusion Radiological examination Skull: Over-retained deciduous and unerupted permanent teeth (Figure 2) Hand and Wrist: Retarded aging of hand and wrist bone (Figure 3) Interim diagnosis After a careful investigation of the test results, an interim diagnosis of hypothyroidism was made. The patient was subsequently advised for the hormonal…
