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Acute Flaccid Paralysis in an 11-Year-Old
Lisa Schwartz1, Rebecca Bishop, Jacqueline Le
1From the Riverside School of Medicine, University of California.
Pediatric Emergency Care
|November 14, 2018
Summary
This case study highlights rhabdomyolysis in a child due to undiagnosed hypothyroidism. Prompt treatment with fluids and levothyroxine resolved paralysis and prevented severe complications.
Area of Science:
- Pediatric Endocrinology
- Neuromuscular Disorders
Background:
- Rhabdomyolysis involves skeletal muscle breakdown and release of intracellular contents.
- Hypothyroidism is an underactive thyroid gland, potentially leading to various complications.
Observation:
- An 11-year-old girl presented with acute paralysis.
- The paralysis was diagnosed as rhabdomyolysis secondary to unrecognized hypothyroidism.
Findings:
- This case is rare, particularly in the pediatric population, linking rhabdomyolysis to hypothyroidism.
- Intravenous fluids and levothyroxine therapy effectively resolved the patient's symptoms.
Implications:
- Early diagnosis and treatment of hypothyroidism are crucial in pediatric rhabdomyolysis.
- Prompt management prevents severe rhabdomyolysis sequelae like renal failure and cardiac issues.
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