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Neonatal thyrotoxicosis with severe supraventricular tachycardia: case report and review of the literature

  • Aslıhan Abbasoğlu EMAIL logo , Ayşe Ecevit , Ali Ulaş Tuğcu , lkay Erdoğan , Sibel Tulgar Kınık und Aylin Tarcan
Veröffentlicht/Copyright: 19. August 2014
Journal of Pediatric Endocrinology and Metabolism
Aus der Zeitschrift Journal of Pediatric Endocrinology and Metabolism Band 28 Heft 3-4

Abstract

Neonatal thyrotoxicosis is a rare condition caused by the transplacental passage of thyroid stimulating immunoglobulins from mothers with Graves’ disease. We report a case of neonatal thyrotoxicosis with concurrent supraventricular tachycardia (SVT). The female infant, who was born by section due to breech delivery and meconium in the amniotic fluid at 36 weeks of gestation, presented with tachycardia on day 7. Her heart rate was between 260 and 300 beats/min, and an electrocardiogram revealed ongoing SVT. Sotalol was effective after two cardioversions in maintaining sinus rhythm. Thyroid function studies revealed hyperthyroidism in the infant, and her mother was found to have Graves’ disease. Since symptoms and signs can vary, especially in preterm infants with neonatal hyperthyroidism, we want to emphasize the importance of prenatal care and follow-ups of Graves’ disease associated pregnancies and management of newborns after birth.

Keywords: newborn; supraventricular tachycardia; thyrotoxicosis
Corresponding author: Aslıhan Abbasoğlu, MD, Division of Neonatology, Department of Pediatrics, Baskent University Faculty of Medicine, Çankaya/Ankara, Turkey, Phone: +90-312-212-6868, Fax: +90-312-223-7333, E-mail:

References

1. Ogilvy-Stuart AL. Neonatal thyroid disorders. Arch Dis Child Fetal Neonatal Ed 2002;87165–71.10.1136/fn.87.3.F165Suche in Google Scholar

2. Batra CM. Fetal and neonatal thyrotoxicosis. Indian J Endocrinol Metab 2013;17:50–4.10.4103/2230-8210.119505Suche in Google Scholar

3. Zimmerman D. Fetal and neonatal hyperthyroidism. Thyroid 1999;9:727–33.10.1089/thy.1999.9.727Suche in Google Scholar

4. Polak M. Hyperthyroidism in early infancy: pathogenesis, clinical features and diagnosis with a focus on neonatal hyperthyroidism. Thyroid 1998;8:1171–7.10.1089/thy.1998.8.1171Suche in Google Scholar

5. Radetti G, Zavallone A, Gentili L, Beck-Peccoz P, Bona G. Foetal and Neonatal thyroid disorders. Minerva Pediatr 2002;54:383–400.Suche in Google Scholar

6. Moak JP. Supraventricular tachycardia in the neonate and infant. Prog Pediatr Cardiol 2000;11:25–38.10.1016/S1058-9813(00)00033-3Suche in Google Scholar

7. Mestman JH. Hyperthyroidism in pregnancy. Clin Obstet Gynecol 1997;40:45–64.10.1097/00003081-199703000-00007Suche in Google Scholar PubMed

8. Mortimer RH, Tyack SA, Galligan JP, Perry-Keene DA, Tan YM. Graves’ disease in pregnancy: TSH receptor binding inhibiting immunoglobulins and maternal and neonatal thyroid function. Clin Endocrinol 1990;32:141–52.10.1111/j.1365-2265.1990.tb00850.xSuche in Google Scholar PubMed

9. Johnstone HC, Dharmaraj P, Cheetham TD. The evaluation and management of thyrotoxicosis. Curr Paediatrics 2004;14:430–37.10.1016/j.cupe.2004.05.007Suche in Google Scholar

10. Mittra ES, Niederkohr RD, Rodriguez C, El-Maghraby T, McDougall IR. Uncommon causes of thyrotoxicosis. J Nucl Med 2008;49:265–78.10.2967/jnumed.107.041202Suche in Google Scholar PubMed

11. Nayak B, Burman K. Thyrotoxicosis and thyroid storm. Endocrinol Metab Clin North Am 2006;35:663–86.10.1016/j.ecl.2006.09.008Suche in Google Scholar PubMed

12. Bahn Chair RS, Burch HB, Cooper DS, Garber JR, Greenlee MC, et al., American Thyroid Association; American Association of Clinical Endocrinologists. Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists. Thyroid 2011;21:593–646.10.1089/thy.2010.0417Suche in Google Scholar PubMed

13. Smith C, Thomsett M, Choong C, Rodda C, McIntyre HD, et al. Congenital thyrotoxicosis in premature infants. Clin Endocrinol 2001;54:371–76.10.1046/j.1365-2265.2001.01173.xSuche in Google Scholar PubMed

14. Hecht T, Brand J, Vlaho S. Encephalopathy and sinus tachycardia in childhood – a possible differential diagnosis. J Pediatr Endocrinol Metab 2012;25:149–51.10.1515/jpem-2011-0436Suche in Google Scholar PubMed

15. Lozano HF, Sharma CN. Reversible pulmonary hypertension, tricuspid regurgitation and right-sided heart failure associated with hyperthyroidism: case report and review of the literature. Cardiol Rev 2004;12:299–305.10.1097/01.crd.0000137259.83169.e3Suche in Google Scholar PubMed

16. Oden J, Cheifetz IM. Neonatal thyrotoxicosis and persistent pulmonary hypertension necessitating extracorporeal life support. Pediatrics 2005;115:105–8.10.1542/peds.2004-0554Suche in Google Scholar PubMed

17. Woeber KA. Thyrotoxicosis and the heart. N Engl J Med 1992;327:94–8.10.1056/NEJM199207093270206Suche in Google Scholar PubMed

18. Skelton CL. The heart and hyperthyroidism: editorial. N Engl J Med 1982;307:1206–8.10.1056/NEJM198211043071909Suche in Google Scholar PubMed

19. Fadel BM, Ellahham S, Ringel MD, Lindsay J Jr, Wartofsky L, et al. Hyperthyroid heart disease. Clin Cardiol 2000;23:402–8.10.1002/clc.4960230605Suche in Google Scholar PubMed PubMed Central

20. Wren C. Cardiac arrhythmias in the fetus and newborn. Semin Fetal Neonatal Med 2006;11:182–90.10.1016/j.siny.2005.12.001Suche in Google Scholar PubMed

21. Wong KK, Potts JE, Etheridge SP, Sanatani S. Medications used to manage supraventricular tachycardia in the infant a North American survey. Pediatr Cardiol 2006;27:199–203.10.1007/s00246-005-1126-xSuche in Google Scholar PubMed

22. Smith CM, Gavranich J, Cotterill A, Rodda CP. Congenital neonatal thyrotoxicosis and previous maternal radioiodine therapy. Br Med J 2000;320:1260–1.10.1136/bmj.320.7244.1260Suche in Google Scholar PubMed PubMed Central

23. Aslam M, Inayat M. Fetal and neonatal Graves disease: a case report and review of the literature. South Med J 2008;101:840–1.10.1097/SMJ.0b013e31817dae27Suche in Google Scholar PubMed

Received: 2014-4-15
Accepted: 2014-7-22
Published Online: 2014-8-19
Published in Print: 2015-3-1

©2015 by De Gruyter

Artikel in diesem Heft

  1. Frontmatter
  2. Highlight: Diabetes
  3. Diabetes mellitus in children and adolescents – a global epidemic which has become neglected
  4. Maturity-onset diabetes of the young (MODY): an update
  5. Relationship of plasma level of chemerin and vaspin to early atherosclerotic changes and cardiac autonomic neuropathy in adolescent type 1 diabetic patients
  6. How does autoimmune thyroiditis in children with type 1 diabetes mellitus influence glycemic control, lipid profile and thyroid volume?
  7. Profile of mood states in adult type 1 diabetes mellitus men and women with disease onset in childhood and in adulthood
  8. Evaluation of fetuin-A and carotid intima-media thickness in adolescent type 1 diabetic patients
  9. An increasing incidence of type 1 diabetes mellitus in Romanian children aged 0 to 17 years
  10. Resistin and right ventricular function in children with recently diagnosed type-1 diabetes mellitus: a case control study
  11. Assessment of human cartilage glycoprotein 39 (YKL-40), preptin, and nitric oxide in adolescent patients with type 1 diabetes and its relation to cardiorenal affection
  12. The effect of a home-based strength training program on type 2 diabetes risk in obese Latino boys
  13. From cerebral salt wasting to diabetes insipidus with adipsia: case report of a child with craniopharyngioma
  14. Three years of liraglutide treatment offers continuously optimal glycemic control in a pediatric patient with maturity-onset diabetes of the young type 3
  15. Diabetic euglycemic ketoacidosis in newly diagnosed type 1 diabetes mellitus during Ramadan fasting
  16. Transient neonatal hyperinsulinism with adaptation disorders: a report of three cases
  17. Acute mononeuropathy in a child with newly diagnosed type 1 diabetes mellitus
  18. Alternating hypoglycemia and hyperglycemia in a toddler with a homozygous p.R1419H ABCC8 mutation: an unusual clinical picture
  19. Cognitive functioning, metabolic control, and treatment type in youth with type 1 diabetes
  20. Images in pediatric endocrinology
  21. Benefit of testosterone in pediatric genital trauma
  22. Original articles
  23. Attenuated salivary cortisol response after exercise test in children with asthma
  24. Reliability of pubertal maturation self-assessment in a school-based survey
  25. Detection of inborn errors of metabolism using GC-MS: over 3 years of experience in southern China
  26. Assessing biological maturity: chronological age and the pubertal development scale predict free testosterone in adolescent males
  27. Evaluation of puberty by verifying spontaneous and stimulated gonadotropin values in girls
  28. Longitudinal changes in C-reactive protein, proform of eosinophil major basic protein, and pregnancy-associated plasma protein-A during weight changes in obese children
  29. Caries in adolescents in relation to their skeletal status
  30. Endothelial and metabolic disorders in adolescence: low birth weight is not an isolated risk factor
  31. Comparison of cortisol samples in the first two weeks of life in preterm infants
  32. Mutations in BTD gene causing biotinidase deficiency: a regional report
  33. Patient reports
  34. Late-onset hypercalcemia in Williams-Beuren syndrome: importance of early and frequent screening and intervention
  35. Hepatoblastoma presenting as precocious puberty: a case report
  36. Three cases of Wolfram syndrome with different clinical aspects
  37. L-asparaginase induced hypoglycemia in a case of acute lymphoblastic leukemia: a patient report
  38. Pyogenic granuloma, an unusual presentation of peripubertal vaginal bleeding. Case report and review of the literature
  39. Octreotide-associated cholestasis and hepatitis in an infant with congenital hyperinsulinism
  40. Two novel mutations in the homogentisate-1,2-dioxygenase gene identified in Chinese Han Child with Alkaptonuria
  41. Pituitary abscess in an adolescent girl: a case report and review of the literature
  42. Neonatal thyrotoxicosis with severe supraventricular tachycardia: case report and review of the literature
  43. Consumptive hypothyroidism associated with parotid infantile hemangioma
  44. Novel mutations in the SLC25A13 gene in a patient with NICCD and severe manifestations
  45. Short communications
  46. Tetrahydrobiopterin deficiency among Serbian patients presenting with hyperphenylalaninemia
https://doi.org/10.1515/jpem-2014-0166
Schlagwörter für diesen Artikel
newborn; supraventricular tachycardia; thyrotoxicosis

Artikel in diesem Heft

  1. Frontmatter
  2. Highlight: Diabetes
  3. Diabetes mellitus in children and adolescents – a global epidemic which has become neglected
  4. Maturity-onset diabetes of the young (MODY): an update
  5. Relationship of plasma level of chemerin and vaspin to early atherosclerotic changes and cardiac autonomic neuropathy in adolescent type 1 diabetic patients
  6. How does autoimmune thyroiditis in children with type 1 diabetes mellitus influence glycemic control, lipid profile and thyroid volume?
  7. Profile of mood states in adult type 1 diabetes mellitus men and women with disease onset in childhood and in adulthood
  8. Evaluation of fetuin-A and carotid intima-media thickness in adolescent type 1 diabetic patients
  9. An increasing incidence of type 1 diabetes mellitus in Romanian children aged 0 to 17 years
  10. Resistin and right ventricular function in children with recently diagnosed type-1 diabetes mellitus: a case control study
  11. Assessment of human cartilage glycoprotein 39 (YKL-40), preptin, and nitric oxide in adolescent patients with type 1 diabetes and its relation to cardiorenal affection
  12. The effect of a home-based strength training program on type 2 diabetes risk in obese Latino boys
  13. From cerebral salt wasting to diabetes insipidus with adipsia: case report of a child with craniopharyngioma
  14. Three years of liraglutide treatment offers continuously optimal glycemic control in a pediatric patient with maturity-onset diabetes of the young type 3
  15. Diabetic euglycemic ketoacidosis in newly diagnosed type 1 diabetes mellitus during Ramadan fasting
  16. Transient neonatal hyperinsulinism with adaptation disorders: a report of three cases
  17. Acute mononeuropathy in a child with newly diagnosed type 1 diabetes mellitus
  18. Alternating hypoglycemia and hyperglycemia in a toddler with a homozygous p.R1419H ABCC8 mutation: an unusual clinical picture
  19. Cognitive functioning, metabolic control, and treatment type in youth with type 1 diabetes
  20. Images in pediatric endocrinology
  21. Benefit of testosterone in pediatric genital trauma
  22. Original articles
  23. Attenuated salivary cortisol response after exercise test in children with asthma
  24. Reliability of pubertal maturation self-assessment in a school-based survey
  25. Detection of inborn errors of metabolism using GC-MS: over 3 years of experience in southern China
  26. Assessing biological maturity: chronological age and the pubertal development scale predict free testosterone in adolescent males
  27. Evaluation of puberty by verifying spontaneous and stimulated gonadotropin values in girls
  28. Longitudinal changes in C-reactive protein, proform of eosinophil major basic protein, and pregnancy-associated plasma protein-A during weight changes in obese children
  29. Caries in adolescents in relation to their skeletal status
  30. Endothelial and metabolic disorders in adolescence: low birth weight is not an isolated risk factor
  31. Comparison of cortisol samples in the first two weeks of life in preterm infants
  32. Mutations in BTD gene causing biotinidase deficiency: a regional report
  33. Patient reports
  34. Late-onset hypercalcemia in Williams-Beuren syndrome: importance of early and frequent screening and intervention
  35. Hepatoblastoma presenting as precocious puberty: a case report
  36. Three cases of Wolfram syndrome with different clinical aspects
  37. L-asparaginase induced hypoglycemia in a case of acute lymphoblastic leukemia: a patient report
  38. Pyogenic granuloma, an unusual presentation of peripubertal vaginal bleeding. Case report and review of the literature
  39. Octreotide-associated cholestasis and hepatitis in an infant with congenital hyperinsulinism
  40. Two novel mutations in the homogentisate-1,2-dioxygenase gene identified in Chinese Han Child with Alkaptonuria
  41. Pituitary abscess in an adolescent girl: a case report and review of the literature
  42. Neonatal thyrotoxicosis with severe supraventricular tachycardia: case report and review of the literature
  43. Consumptive hypothyroidism associated with parotid infantile hemangioma
  44. Novel mutations in the SLC25A13 gene in a patient with NICCD and severe manifestations
  45. Short communications
  46. Tetrahydrobiopterin deficiency among Serbian patients presenting with hyperphenylalaninemia
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