Abstract

CLINICAL EXPRESSION OF GRAVES DISEASE IN CHILDREN: CASE REPORT

Jwal Doctor*, Aesha Trivedi, Bharat Kumar and Snehal Patel

ABSTRACT

Thyrotoxicosis is caused by accelerated metabolism from excessive level of circulating thyroid hormones. It include chronic lymphocytic, thyroiditis, excess thyroid hormones ingestion (fictitious thyrotoxicosis), iodine induced disease, Mccune–Albright syndromes or constitutively activated TSH receptor. Acute or sub-acute thyroiditis which tends to transient, TSH Secreting pituitary tumors, toxic adenoma, multinodular goiter casing hyperthyroidism are rare in children. It is rare in children having less than five year of age and higher during adolescence (10-15 year of age), around more than two third of children shows occurrence in this age group. We reported 7 year old female child diagnosed as thyrotoxicosis who presented with goiter, exophthalmos, increased appetite, hyperactivity, and tachycardia, increased sweating. Clinical examination of patient findings shows bilateral thyromegaly which increase trapping function in given clinical content. The uptake pattern favour hyperfunction of thyroid gland possibly Graves Disease.

Keywords: Bilateral Thyromegaly; Goiter; Exophthalmos; Hyperactivity; Tachycardia; Thyroid Scan.