Pericarditis as the Presenting Feature of Graves Disease in a Pediatric Patient
| Autor: | Selma F. Witchel, Hannah Chalal, Danielle Cullen, Emir Tas, Sriram Ramgopal, Neil Munjal |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Tachycardia endocrine system medicine.medical_specialty Pediatrics Adolescent endocrine system diseases medicine.medical_treatment Graves' disease Anti-Inflammatory Agents 030204 cardiovascular system & hematology Chest pain 03 medical and health sciences Pericarditis 0302 clinical medicine Antithyroid Agents Exophthalmos Humans Medicine business.industry Antithyroid agent 030208 emergency & critical care medicine General Medicine medicine.disease Graves Disease eye diseases Surgery Pediatric patient Treatment Outcome Pediatrics Perinatology and Child Health Emergency Medicine Etiology medicine.symptom Presentation (obstetrics) business |
| Zdroj: | Pediatric Emergency Care. 33:268-270 |
| ISSN: | 0749-5161 |
| DOI: | 10.1097/pec.0000000000000439 |
| Popis: | Pericarditis is a rare presentation of thyrotoxicosis associated with Graves disease. This association has not been previously described in the pediatric literature. We report a 17-year-old male patient who presented with chest pain, dyspnea, and tachycardia. He was found to have diffuse ST-segment elevation consistent with pericarditis. At presentation, he was noted to have bilateral proptosis. Abnormal thyroid function studies and an elevated thyroid-stimulating hormone receptor antibody level confirmed the diagnosis of Graves thyrotoxicosis. The patient was treated with anti-inflammatory and antithyroid agents and improved in time. We discuss previously reported cases of Graves disease-associated pericarditis in adults, potential etiologies, and management strategies. |
| Databáze: | OpenAIRE |
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