Sir, A 15-day-old boy was admitted to our hospital, with a history of unexplained deaths of siblings. Physical examination revealed a marked thyromegaly: 2 x 3 cm on the left lobe and 2.5 x 3 cm on the right lobe (Fig. 1). In the family history, his two sibs had died suddenly at three and four months of age. There was no consanguinity between his parents. Blood smear, urine analysis, liver and kidney function tests were normal, but blood uric acid concentration was 11.4 mg/dl. Thyroid hormone values were in the normal range: T3 12 pg/dl; T4 150 ng/dl; rT3 85 ng/dl; TBG 2.6 mg/dl; TSH 3.5 mIU/1. The patient’s plasma was milky in appearance and plasma lipid and lipoprotein levels were found to be significantly elevated: cholesterol 580 mg/dl; triglycer-

Congenital goiter and secondary hyperlipidemia

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Congenital goiter and secondary hyperlipidemia