Congenital hypothyroidism and nephrocalcinosis.

An 8-year-old girl presented with history of delayed milestones, severe malnutrition, decubitus ulcers over buttocks and elbows, and severe constipation. She was a product of nonconsanguineous marriage with no significant perinatal history. On examination, she had coarse facial features, bilateral convergent squint, thickened dry skin, delayed dentition and non pitting pedal edema. She had severe growth failure (weight 9.3 kg (-4.4 SDS); height 75 cm (-8.77 SDS); upper segment: lower segment ratio 1.2:1. The child’s developmental age was about 6 months.