Initial low-dose oral levothyroxine in a child with Down syndrome, myxedema, and cardiogenic shock

Initial low-dose oral levothyroxine in a child with Down syndrome, myxedema, and cardiogenic shock

Myxedema is extremely rare in children, and guidelines are lacking. We treated a 12-year-old girl with myxedema and cardiogenic shock with initial low dose (0.3-2.5 μg/kg body weight/day) of oral levothyroxine and intensive care. Oral administration may safely revert children's myxedema in a do...

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Veröffentlicht in:CLINICAL CASE REPORTS 2019-07, Vol.7 (7), p.1291-1296
Hauptverfasser: Janson, Annika, Hällström, Cathrin, Iversen, Magnus, Finder, Mikael, Elimam, Amira, Nergårdh, Ricard
Format: Artikel
Sprache:eng
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Zusammenfassung:Myxedema is extremely rare in children, and guidelines are lacking. We treated a 12-year-old girl with myxedema and cardiogenic shock with initial low dose (0.3-2.5 μg/kg body weight/day) of oral levothyroxine and intensive care. Oral administration may safely revert children's myxedema in a dosage resembling that for hypothyroidism.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.2169