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Hypercalcaemia and hypertransaminasaemia in a child with hyperthyroidism
1Department of Paediatrics, Caritas Medical Centre, Kowloon, Hong Kong, China. jerihui2000@yahoo.com.hk
Journal of Paediatrics and Child Health
|October 8, 2004
Insights
Hyperthyroidism in children can cause high calcium and liver enzymes. Monitoring these levels is crucial as they improve when thyroid function normalizes.
Area of Science:
- Pediatric Endocrinology
- Clinical Biochemistry
Background:
- Hyperthyroidism is common in adults, often presenting with hypercalcemia and hypertransaminasemia.
- These biochemical abnormalities are rarely documented in pediatric hyperthyroidism cases.
Observation:
- A 4-year-old girl with hyperthyroidism presented with concurrent hypercalcemia and hypertransaminasemia.
- These abnormal laboratory findings were observed alongside the hyperthyroid state.
Findings:
- The patient's serum calcium and liver function tests normalized after achieving a euthyroid state.
- This suggests a direct link between thyroid hormone levels and these metabolic derangements in children.
Implications:
- Routine monitoring of serum calcium and liver function is recommended for pediatric patients diagnosed with hyperthyroidism.
- Early detection and management can prevent potential complications associated with these findings.
Abstract:
Hypercalcaemia and hypertransaminasaemia are well recognized and not infrequent findings in hyperthyroidism in adults. Both conditions are seldom reported in children. Here we report the case of a 4-year-old girl with hyperthyroidism associated with hypercalcaemia and hypertransaminasaemia which were reversed after euthyroid state was achieved. We recommend that serum calcium and liver function should always be monitored in children with hyperthyroidism.
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