Thyrotoxic Myopathy with Nonspecific Ophthalmopathy in a Two-Year-Old Child: Case Report and Literature Review

Background: Myopathies encompass a wide range of diseases with diverse etiologies, courses, and prognoses, and can be either genetic or acquired in nature. One of the rare causes of acquired myopathies in children is hyperthyroidism. Ocular manifestations of hyperthyroidism include proptosis (exophthalmos) and widening of the palpebral fissure. Conversely, ptosis may indicate co-existing myasthenia or primary or secondary myopathy. Methods: This study presents a case of a 2-year-old child exhibiting both ocular disorders-each in one eye-along with features of proximal myopathy associated with undiagnosed thyrotoxicosis. Results: To our knowledge, this unique presentation of thyrotoxicosis in a young child has not been previously reported. After appropriate treatment for thyrotoxicosis, the child's ocular and muscular symptoms showed improvement. Conclusions: Given that thyroid disorders can be a rare cause of both myopathy and ocular disorders in children, it is recommended that any child presenting with such symptoms undergo thyroid function screening tests.