Supraclavicular swelling in hypothyroidism

Area of Science:

• Pediatric Endocrinology
• Internal Medicine
• Clinical Case Reports

Background:

• Hypothyroidism, a condition of insufficient thyroid hormone production, has diverse clinical manifestations.
• Recognizing the spectrum of symptoms is crucial for timely diagnosis and management in pediatric populations.

Observation:

• A pediatric patient presented with bilateral supraclavicular swelling as the primary clinical sign.
• This initial presentation is atypical for hypothyroidism, which often involves more common symptoms like fatigue or developmental delay.

Findings:

• The case illustrates acquired hypothyroidism presenting with an uncommon physical finding.
• This underscores the importance of considering hypothyroidism even with unusual initial signs in children.

Implications:

• This case expands the understanding of hypothyroidism's varied presentations in pediatric patients.
• Clinicians should consider hypothyroidism in the differential diagnosis of pediatric neck masses or swelling.