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Published on: February 9, 2024
Hyperthyroidism Presenting as Jaundice in a Child
Tawfiq Taki Al Lawati1, Aisha Al Sinani2, Fatma Ali Ramadhan Al Lawati3
1Department of Child Health, Royal Hospital, Muscat, Oman.
Insights
This study highlights hyperthyroidism-related liver disease in children, a rare cause of jaundice. Effective management was achieved using carbimazole and propranolol.
Area of Science:
- Pediatric Endocrinology
- Hepatology
- Internal Medicine
Background:
- Hyperthyroidism-related liver disease is an infrequent cause of jaundice in pediatric populations.
- Limited clinical and histological data exist regarding this condition and its management.
- Thyrotoxicosis can present with hepatic dysfunction, necessitating further investigation.
Observation:
- A five-year-old girl diagnosed with thyrotoxicosis presented with associated hepatitis.
- The patient exhibited symptoms indicative of liver disease secondary to hyperthyroidism.
Findings:
- The case demonstrates successful management of hyperthyroidism-associated hepatitis.
- Treatment with carbimazole and propranolol led to positive clinical outcomes.
- This suggests a viable therapeutic approach for similar pediatric cases.
Implications:
- This case contributes valuable information on the clinical presentation and successful management of a rare pediatric condition.
- The findings support the use of antithyroid medication and beta-blockers in managing hyperthyroidism-induced liver disease in children.
- Further research is warranted to expand the understanding and evidence base for this uncommon liver disease in pediatric endocrinology.
Abstract:
Hyperthyroidism-related liver disease is an uncommon cause of jaundice in children. There is scarce data on its clinical and histological features and management. We report the case of a five-year-old girl with thyrotoxicosis associated with hepatitis, which was managed solely and successfully with carbimazole and propranolol.
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