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Management of a child with acute thyroxine ingestion
Annals of Emergency Medicine
|November 1, 1985
Insights
A child with thyroxine overdose showed mild hypertension and tachycardia despite high levels. Propranolol effectively managed these symptoms, allowing for a safe discharge and outpatient treatment.
Area of Science:
- Pediatric Endocrinology
- Clinical Toxicology
Background:
- Thyroxine (T4) overdose is a serious condition.
- Clinical presentation can vary, even with extremely elevated levels.
Abstract:
We report a case of thyroxine overdose in a child. Despite extremely high thyroxine (T4RIA) levels on admission, the patient's only symptoms were mild hypertension and tachycardia. Both symptoms responded to propranolol, with a drop in pulse rate and a decrease in blood pressure to normal levels. After four days of cardiac monitoring, the patient was released and received propranolol for five additional days as an outpatient.