Evidence map›Paper›PMID 42729606›Full record

ArticleJCEM case reports2026

Transient neonatal hypothyroidism due to maternal seaweed soup ingestion: a report of 3 cases.

Sofya Ilmer, Vivienne Lopez-Cabreza, Parissa Salemi

Abstract readCase Reports
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Article in JCEM case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Sofya IlmerDivision of Pediatric Endocrinology and Diabetes, Cohen Children's Medical Center, Northwell Health, New Hyde Park, NY 11042, USA.ORCID https://orcid.org/0009-0001-0003-8493
Vivienne Lopez-CabrezaDivision of Pediatric Endocrinology and Diabetes, Cohen Children's Medical Center, Northwell Health, New Hyde Park, NY 11042, USA.
Parissa SalemiDivision of Pediatric Endocrinology and Diabetes, Cohen Children's Medical Center, Northwell Health, New Hyde Park, NY 11042, USA.ORCID https://orcid.org/0009-0007-7219-1124

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Seaweed soup (miyeok-guk) is traditionally consumed daily by Korean women during pregnancy and postpartum, often resulting in maternal iodine intake exceeding 2000 µg/day, which can induce neonatal hypothyroidism (NH) in breastfed infants. Neonatal hypothyroidism refers to transient thyroid dysfunction from extrinsic iodine exposure, distinct from congenital hypothyroidism (CH) due to intrinsic thyroid defects. We present 3 infants of Korean descent with NH associated with maternal seaweed soup consumption. Case 1 is a preterm infant with severe hypothyroidism resolving rapidly after maternal discontinuation of seaweed soup, with levothyroxine discontinued at 6 months. Case 2 presented with subclinical hypothyroidism on day of life 11 and an atypical course requiring dose adjustments before proving transient at age 3.5 years. Case 3 had severe hypothyroidism at birth and was treated for 6 years as presumed CH; however, levothyroxine dose remained unchanged despite significant growth, and therapy was discontinued after maternal dietary history was obtained, confirming transient disease. These cases demonstrate that initial thyroid-stimulating hormone severity poorly predicts permanence and that levothyroxine dose trajectory is more reliable. Culturally sensitive history-taking and systematic reevaluation at age 3 can prevent unnecessary lifelong therapy.

Indexed as

culturally sensitive careiodine excessneonatal hypothyroidismseaweedtransient hypothyroidismWolff–Chaikoff effect

Identifiers

PMID42729606
PMCPMC13563180

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