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In kaplan Pediatrics, chapter 21 Endocrine, it says
1) In Acquired hypothyroidism, schoolwork and grades do not suffer.
2) In Graves disease, there is deterioration in school performance.
I have always thought in opposite way. How can I understand these two? Please explain. Thanks! :!:
Mental retardation is associated with congenital hypothyroidism. Comparing to that, acquired hypothyroidism doesn’t produce significant CNS symptoms, esp. hypothyroid in school going age. Whereas school performance may be decreased, its not a hallmark of acquired hypothyroidism.
Grave’s in kids may be associated with hyperactivity, anxiety and mood lability which may effect their school grades.
Anyway, I think I am just trying to justify what kaplan says.
Thanks, docdoc, I agree your reasoning.
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