Diagnostic difficulties by the unusual presentations in children and adolescents with hashimoto thyroiditis

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dc.contributor.authorErsoy B.
dc.contributor.authorSeniha K.Y.
dc.contributor.authorKızılay D.
dc.contributor.authorYılmaz M.
dc.contributor.authorCoşkun Ş.
dc.date.accessioned2024-07-22T08:11:41Z
dc.date.available2024-07-22T08:11:41Z
dc.date.issued2016
dc.description.abstractComplex clinical presentation with diverse timing of particular symptoms may cause diagnostic difficulties, especially in children and adolescents. This paper presents diagnostic difficulties and pitfalls in 3 children with acquired primary hypothyroidism due to Hashimoto’s thyroiditis (HT) presenting with unusual manifestations. We described 3 children with acquired primary hypothyroidism due to HT. One of our patients had musculoskeletal pain and was diagnosed and treated as having connective tissue disease. Another patient presented with chest pain, dyspnea, and swelling in the abdomen. She had a massive pericardial effusion (PE). Two patients had severe growth failure. A third patient with Down syndrome had a small PE. Her complaint was dyspnea during sleep. All patients improved with thyroxin therapy. Patients with hypothyroidism due to HT who have complicated clinical manifestations were misdiagnosed and mismanaged at childhood and adolescence. Growth failure is an important sign in children and adolescents. In the presence of complicated manifestations in children and adolescents, thyroid dysfunction must be considered in differential diagnosis. © 2016 Annals of Pediatric Endocrinology & Metabolism.
dc.identifier.DOI-ID10.6065/apem.2016.21.3.164
dc.identifier.issn22871012
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15752
dc.language.isoEnglish
dc.publisherKorean society of pediatric endocrinology
dc.rightsAll Open Access; Gold Open Access
dc.subjectcreatine kinase
dc.subjectlevothyroxine
dc.subjectthyroglobulin antibody
dc.subjectthyroid peroxidase antibody
dc.subjectthyrotropin
dc.subjectadolescent
dc.subjectArticle
dc.subjectcase report
dc.subjectchild
dc.subjectcoughing
dc.subjectdry skin
dc.subjectdyspnea
dc.subjectechocardiography
dc.subjectelectromyography
dc.subjectfemale
dc.subjectfever
dc.subjectfree liothyronine index
dc.subjectfree thyroxine index
dc.subjectgoiter
dc.subjectHashimoto disease
dc.subjecthuman
dc.subjecthypotension
dc.subjecthypothyroidism
dc.subjectleg edema
dc.subjectmalaise
dc.subjectmusculoskeletal pain
dc.subjectpericardial effusion
dc.subjectpericardiocentesis
dc.subjectperiorbital edema
dc.subjectschool child
dc.subjectshort stature
dc.subjectskin bruising
dc.subjectswelling
dc.subjectthorax pain
dc.subjectthyroid function test
dc.titleDiagnostic difficulties by the unusual presentations in children and adolescents with hashimoto thyroiditis
dc.typeArticle

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