Hypothyroidism and Dyshormonogenesis Induced by D-Penicillamine in Children with Wilson's Disease and Healthy Infants Born to a Mother with Wilson's Disease

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Two siblings born to a mother with Wilson's disease, who was taking D-penicillamine, developed transient goitrous hypothyroidism. A prospective evaluation of 5 patients with Wilson's disease taking and not taking D-penicillamine for as long as 9.5 years showed subclinical hypothyroidism. D-penicillamine probably inhibited thyroperoxidase activity in utero in healthy infants and during childhood in patients with Wilson's disease.

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