Editing Hypothyroidism (section)

===Children===
Newborn children with hypothyroidism may have normal birth weight and height (although the head may be larger than expected and the [[posterior fontanelle]] may be open).<!-- <ref name=Counts> --> Some may have drowsiness, [[Hypotonia|decreased muscle tone]], poor weight gain, a hoarse-sounding cry, feeding difficulties, constipation, an [[macroglossia|enlarged tongue]], [[umbilical hernia]], [[Xeroderma|dry skin]], a [[Hypothermia|decreased body temperature]], and [[Neonatal jaundice|jaundice]].<ref name=Counts>{{cite journal | vauthors = Counts D, Varma SK | title = Hypothyroidism in children | journal = Pediatrics in Review | volume = 30 | issue = 7 | pages = 251–8 | date = July 2009 | pmid = 19570923 | doi = 10.1542/pir.30-7-251 | s2cid = 29460139 }}</ref> A [[goiter]] is rare, although it may develop later in children who have a thyroid gland that does not produce [[thyroid dyshormonogenesis|functioning thyroid hormone]].<ref name=Counts/> A goiter may also develop in children growing up in areas with [[iodine deficiency]].<ref name=Pearce>{{cite journal | vauthors = Pearce EN | title = Update in lipid alterations in subclinical hypothyroidism | journal = The Journal of Clinical Endocrinology and Metabolism | volume = 97 | issue = 2 | pages = 326–33 | date = February 2012 | pmid = 22205712 | doi = 10.1210/jc.2011-2532 | doi-access = free }}</ref> Normal growth and development may be delayed, and not treating infants may lead to an intellectual impairment (IQ 6–15 points lower in severe cases).<!-- <ref name=Counts/> --> Other problems include the following: difficulty with large scale and fine [[motor skill]]s and [[ataxia|coordination]], reduced muscle tone, [[Strabismus|squinting]], decreased [[attention span]], and [[speech acquisition|delayed speaking]].<ref name=Counts/> [[Tooth eruption]] may be delayed.<ref>{{cite journal | vauthors = Chandna S, Bathla M | title = Oral manifestations of thyroid disorders and its management | journal = Indian Journal of Endocrinology and Metabolism | volume = 15 | issue = Suppl 2 | pages = S113–6 | date = July 2011 | pmid = 21966646 | pmc = 3169868 | doi = 10.4103/2230-8210.83343 | doi-access = free }}</ref>

In older children and adolescents, the symptoms of hypothyroidism may include fatigue, cold intolerance, sleepiness, muscle weakness, constipation, a delay in growth, overweight for height, pallor, coarse and thick skin, [[Hypertrichosis|increased body hair]], [[Irregular menstruation|irregular menstrual cycles]] in girls, and [[delayed puberty]]. Signs may include delayed relaxation of the ankle reflex and a [[bradycardia|slow heartbeat]].<ref name=Counts/> A goiter may be present with a completely enlarged thyroid gland;<ref name=Counts/> sometimes only part of the thyroid is enlarged and it can be knobby.<ref name=Brown2013>{{cite journal | vauthors = Brown RS | title = Autoimmune thyroiditis in childhood | journal = Journal of Clinical Research in Pediatric Endocrinology | volume = 5 Suppl 1 | issue = 4 | pages = 45–9 | year = 2013 | pmid = 23154164 | pmc = 3608006 | doi = 10.4274/jcrpe.855 | type = Review }}</ref>