A Rare Case of Painful Goiter Secondary to Pediatric Hashimoto’s Thyroiditis Requiring Thyroidectomy for Pain Control
| Autor: | Ricardo Gomez, Liladhar Kashyap, Abdulhameed Alsaheel, Lawrence M. Simon, Rohan R. Walvekar |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
endocrine system
medicine.medical_specialty Goiter endocrine system diseases medicine.medical_treatment pediatric Hashimoto’s thyroiditis Levothyroxine lcsh:Medicine Case Report Painful goiter Pediatrics Thyroid function tests Thyroiditis medicine medicine.diagnostic_test business.industry lcsh:R Thyroid lcsh:RJ1-570 Thyroidectomy Respiratory infection lcsh:Pediatrics medicine.disease Anti-thyroid autoantibodies Surgery medicine.anatomical_structure pain management business medicine.drug |
| Zdroj: | Pediatric Reports Volume 7 Issue 3 Pediatric Reports, Vol 7, Iss 3 (2015) |
| ISSN: | 2036-7503 |
| DOI: | 10.4081/pr.2015.5914 |
| Popis: | Hashimoto’s thyroiditis (HT) usually presents as painless thyroid swelling. Painful pediatric HT is a rare condition with limited literature on pain management. We report a 15- year-old female who presented with 4 weeks history of fatigue, malaise and progressive, painful midline thyroid swelling. There was no difficulty in swallowing, no fever or recent upper respiratory infection symptoms. Exam was remarkable for diffusely enlarged, very tender, and non-nodular thyroid. Thyroid function tests, C-reactive protein, and complete blood count were normal. Ultrasound revealed diffusely enlarged non-nodular, non-cystic gland with mild increased vascularity. Diagnosis of HT was confirmed by biopsy and thyroid antibodies. Over a 6 week period, pain management with ibuprofen, levothyroxine, corticosteroid, gabapentin and amitriptyline was unsuccessful. Ultimately, total thyroidectomy resulted in complete resolution of thyroid pain. We can conclude that thyroidectomy may be considered for the rare case of painful HT in children. |
| Databáze: | OpenAIRE |
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