Massive Pericardial Effusion and Short Stature Caused by Autoimmune Hypothyroidism in a 9-year-old Girl

Overview

Journal Ann Pediatr Endocrinol Metab

Specialty Pediatrics

Date 2015 Jul 21

PMID 26191514

Citations 2

Authors

Yun Hee Gyon

Heon-Seok Han

Affiliations

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Abstract

A 9-year-, 11-month-old girl was brought to the Emergency Department for sudden dyspnea caused by massive pericardial effusion. In addition to relative bradycardia despite impending cardiac tamponade, short stature, overweight, and hypercholesterolemia were clues for suspected hypothyroidism. During thyroxine supplementation, catch-up growth was incomplete by rapid skeletal maturation. The use of short-term growth hormone showed increased growth velocity. In conclusion, primary hypothyroidism should be included in the etiologic evaluation of pericardial effusion, especially when it is associated with relative bradycardia. Additional growth promoting therapy should be considered for incomplete catch-up growth in prolonged hypothyroidism during thyroxine supplementation.

Citing Articles

Systemic Lupus Erythematosus Presenting With Severe Hypothyroidism and Extensive Pericardial Effusion in a Child.

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Diagnostic difficulties by the unusual presentations in children and adolescents with Hashimoto thyroiditis.

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