Coexistence of Graves' disease with acute rheumatic fever treated as thyroid storm in young Thai patient.
Graves’ disease
acute rheumatic fever
chorea
thyroid storm
Journal
Journal of pediatric endocrinology & metabolism : JPEM
ISSN: 2191-0251
Titre abrégé: J Pediatr Endocrinol Metab
Pays: Germany
ID NLM: 9508900
Informations de publication
Date de publication:
27 Jun 2023
27 Jun 2023
Historique:
received:
12
10
2022
accepted:
24
03
2023
medline:
8
6
2023
pubmed:
16
4
2023
entrez:
15
4
2023
Statut:
epublish
Résumé
This report presents a case of acute onset of chorea, concurrent Graves' disease, and acute rheumatic fever in an 8-year-old female patient. The child had intermittent involuntary movement of all extremities and both eyes for 4 days, with a previous history of increased appetite, weight lost, and heat intolerance over a period of two months. Physical examination revealed fever, tachycardia, exophthalmos, eyelid retraction, as well as diffused thyroid enlargement. Initial clinical features and thyroid function testing suggested a thyroid storm due to Graves' disease. Methimazole, propranolol, potassium iodide (SSKI), and dexamethasone were prescribed. Congestive heart failure developed after propranolol and cardiovascular re-evaluation and Revised Jones criteria suggested acute rheumatic fever. Chorea was successfully treated with pulse methylprednisolone. We reported Graves' disease patients with acute rheumatic fever simulating a thyroid storm. The underlying cardiac disease must be considered, especially where chorea and congestive heart failure are present.
Identifiants
pubmed: 37060353
pii: jpem-2022-0522
doi: 10.1515/jpem-2022-0522
doi:
Substances chimiques
Propranolol
9Y8NXQ24VQ
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
598-601Informations de copyright
© 2023 Walter de Gruyter GmbH, Berlin/Boston.
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