Neonatal Graves Disease Masquerading as Hemochromatosis
Abstract Thyroid autoimmunity is extremely common in the adult population and can affect pregnancy outcomes. Signs in the newborn can range from absent to severe, making the diagnosis easy to miss. We present an interesting case of neonatal Graves disease associated with intrauterine growth restrict...
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Veröffentlicht in: | JCEM case reports 2024-07, Vol.2 (7), p.luae132 |
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creator | Maggiotto, Liesbeth Mittelman, Steven D Fallah, Roja |
description | Abstract
Thyroid autoimmunity is extremely common in the adult population and can affect pregnancy outcomes. Signs in the newborn can range from absent to severe, making the diagnosis easy to miss. We present an interesting case of neonatal Graves disease associated with intrauterine growth restriction, premature delivery, and liver failure with severely high ferritin, thought to be secondary to hemochromatosis. Treatment of the underlying hyperthyroidism caused a rapid resolution of the elevated ferritin and liver failure. This report highlights the importance of considering Graves disease in newborns with liver failure of unknown etiology. |
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Thyroid autoimmunity is extremely common in the adult population and can affect pregnancy outcomes. Signs in the newborn can range from absent to severe, making the diagnosis easy to miss. We present an interesting case of neonatal Graves disease associated with intrauterine growth restriction, premature delivery, and liver failure with severely high ferritin, thought to be secondary to hemochromatosis. Treatment of the underlying hyperthyroidism caused a rapid resolution of the elevated ferritin and liver failure. This report highlights the importance of considering Graves disease in newborns with liver failure of unknown etiology.</description><identifier>ISSN: 2755-1520</identifier><identifier>EISSN: 2755-1520</identifier><identifier>DOI: 10.1210/jcemcr/luae132</identifier><identifier>PMID: 39049864</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Case Report</subject><ispartof>JCEM case reports, 2024-07, Vol.2 (7), p.luae132</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the Endocrine Society. 2024</rights><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the Endocrine Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2252-3f8d407af88d27fb4a586a5e25369e3d76ce682db9073f631ed3831f13bcd40a3</cites><orcidid>0009-0004-4856-3918 ; 0000-0002-4155-5390</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267223/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267223/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39049864$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maggiotto, Liesbeth</creatorcontrib><creatorcontrib>Mittelman, Steven D</creatorcontrib><creatorcontrib>Fallah, Roja</creatorcontrib><title>Neonatal Graves Disease Masquerading as Hemochromatosis</title><title>JCEM case reports</title><addtitle>JCEM Case Rep</addtitle><description>Abstract
Thyroid autoimmunity is extremely common in the adult population and can affect pregnancy outcomes. Signs in the newborn can range from absent to severe, making the diagnosis easy to miss. We present an interesting case of neonatal Graves disease associated with intrauterine growth restriction, premature delivery, and liver failure with severely high ferritin, thought to be secondary to hemochromatosis. Treatment of the underlying hyperthyroidism caused a rapid resolution of the elevated ferritin and liver failure. This report highlights the importance of considering Graves disease in newborns with liver failure of unknown etiology.</description><subject>Case Report</subject><issn>2755-1520</issn><issn>2755-1520</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNqFkL1PwzAQxS0EolXpyogywpDWH0nsTAgVaJH4WGC2Ls6lTZXExW4q8d8TlFKVielOut97d_cIuWR0wjij07XB2rhp1QIywU_IkMs4DlnM6elRPyBj79eUUp6mNJX8nAxESqNUJdGQyFe0DWyhCuYOduiD-9IjeAxewH-26CAvm2UAPlhgbc3K2Rq21pf-gpwVUHkc7-uIfDw-vM8W4fPb_Gl29xwazmMeikLlEZVQKJVzWWQRxCqBGHkskhRFLhODieJ5llIpikQwzIUSrGAiM50QxIjc9r6bNqsxN9hsHVR648oa3Je2UOq_k6Zc6aXdacZ4IjkXncP13sHZ7iO_1XXpDVYVNGhbrwVVkUykYnGHTnrUOOu9w-Kwh1H9k7juE9f7xDvB1fF1B_w33w646QHbbv4z-waR3Y0g</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Maggiotto, Liesbeth</creator><creator>Mittelman, Steven D</creator><creator>Fallah, Roja</creator><general>Oxford University Press</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0009-0004-4856-3918</orcidid><orcidid>https://orcid.org/0000-0002-4155-5390</orcidid></search><sort><creationdate>202407</creationdate><title>Neonatal Graves Disease Masquerading as Hemochromatosis</title><author>Maggiotto, Liesbeth ; Mittelman, Steven D ; Fallah, Roja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2252-3f8d407af88d27fb4a586a5e25369e3d76ce682db9073f631ed3831f13bcd40a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Case Report</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maggiotto, Liesbeth</creatorcontrib><creatorcontrib>Mittelman, Steven D</creatorcontrib><creatorcontrib>Fallah, Roja</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JCEM case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maggiotto, Liesbeth</au><au>Mittelman, Steven D</au><au>Fallah, Roja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neonatal Graves Disease Masquerading as Hemochromatosis</atitle><jtitle>JCEM case reports</jtitle><addtitle>JCEM Case Rep</addtitle><date>2024-07</date><risdate>2024</risdate><volume>2</volume><issue>7</issue><spage>luae132</spage><pages>luae132-</pages><issn>2755-1520</issn><eissn>2755-1520</eissn><abstract>Abstract
Thyroid autoimmunity is extremely common in the adult population and can affect pregnancy outcomes. Signs in the newborn can range from absent to severe, making the diagnosis easy to miss. We present an interesting case of neonatal Graves disease associated with intrauterine growth restriction, premature delivery, and liver failure with severely high ferritin, thought to be secondary to hemochromatosis. Treatment of the underlying hyperthyroidism caused a rapid resolution of the elevated ferritin and liver failure. This report highlights the importance of considering Graves disease in newborns with liver failure of unknown etiology.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>39049864</pmid><doi>10.1210/jcemcr/luae132</doi><orcidid>https://orcid.org/0009-0004-4856-3918</orcidid><orcidid>https://orcid.org/0000-0002-4155-5390</orcidid><oa>free_for_read</oa></addata></record> |
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title | Neonatal Graves Disease Masquerading as Hemochromatosis |
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