Iodine deficiency hypothyroidism is an important cause of neurocognitive and motor impairment in children globally. In the United States, universal salt iodization, which began in the 1920s, led to a dramatic decline in iodine deficiency hypothyroidism. However, iodine deficiency may be reemerging due to increased consumption of noniodized salts, decreased dairy iodine concentrations, and decreased intake of iodine containing foods due to food allergies, dietary preferences such as vegan diets, or restrictive food intake disorders.

Iodine deficiency hypothyroidism is an important cause of neurocognitive and motor impairment in children globally. In the United States, universal salt iodization, which began in the 1920s, led to a dramatic decline in iodine deficiency hypothyroidism. However, iodine deficiency may be reemerging due to increased consumption of noniodized salts, decreased dairy iodine concentrations, and decreased intake of iodine containing foods due to food allergies, dietary preferences such as vegan diets, or restrictive food intake disorders.

Iodine deficiency hypothyroidism is an important cause of neurocognitive and motor impairment in children globally. In the United States, universal salt iodization, which began in the 1920s, led to a dramatic decline in iodine deficiency hypothyroidism. However, iodine deficiency may be reemerging due to increased consumption of noniodized salts, decreased dairy iodine concentrations, and decreased intake of iodine containing foods due to food allergies, dietary preferences such as vegan diets, or restrictive food intake disorders.

Welcome to another issue of AACE Clinical Case Reports (ACCR). The current issue includes interesting and educational cases to share. We will provide a summary of some of those cases below. For more details, please access ACCR online journal available at https://www.aaceclinicalcasereports.com/

A 39-year-old woman, healthy by nature, was diagnosed with gestational diabetes mellitus (GDM) at 27 weeks of pregnancy. Despite dietary modifications and self-monitoring of blood glucose, glucose control was inadequate. Therefore, treatment with insulin detemir and insulin lispro injections was initiated at 30 weeks of gestation. A few days after this, erythema and induration with pruritus appeared at the abdominal puncture site and, 3 weeks later, spread on the bilateral lower legs (Fig. A and B).

A 39-year-old woman, healthy by nature, was diagnosed with gestational diabetes mellitus (GDM) at 27 weeks of pregnancy. Despite dietary modifications and self-monitoring of blood glucose, glucose control was inadequate. Therefore, treatment with insulin detemir and insulin lispro injections was initiated at 30 weeks of gestation. A few days after this, erythema and induration with pruritus appeared at the abdominal puncture site and, 3 weeks later, spread on the bilateral lower legs (Fig. A and B).