Article Text

Download PDFPDF
Rare disease
Kocher–Debré–Semelaigne syndrome
  1. Sanwar Agrawal,
  2. Prashant Thakur
  1. Pediatrics Department, Ekta institute of Child Health, Shantinagar, Raipur, Chhattisgarh, India
  1. Correspondence to Sanwar Agrawal, drsanwar50{at}


A 4-year-old male child presented with severe growth failure and developmental delay. He had hypertrophy of calf muscles and the thyroid profile showed low levels of T3, T4 and markedly elevated level of thyroid-stimulating hormone thus confirming the presence of hypothyroidism. This combination of hypothyroidism and hypertrophy of muscles is classically described as Kocher–Debré–Semelaigne syndrome. This child was started on 50 µg of levothyroxine.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests None.

  • Patient consent Obtained.