Thyroid Disease in Children and Adolescents

Part of the Current Clinical Practice book series (CCP)


A 16-year-old high school student was referred because of neck enlargement, which she had discovered recently. She was evaluated by her mother’s employer, a gynecologist. Thyroid studies showed a total thyroxine (T4) of 16.1 (4.5–12) and thyroid-stimulating hormone (TSH) of less than 0.1. Her mother reported that the patient had been unusually warm and her speech had become more rapid. The rapid speech had also been noted by her teacher. She had felt shaky at times and was biting her nails. Her menses were regular. She had noted some hair loss. Her mother was being treated for Hashimoto’s thyroiditis with hypothyroidism and several other family members had thyroid disease. She was on no medications.


Thyroid Disease Autoimmune Thyroiditis White Blood Count Pituitary Surgery Heat Intolerance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected Sources

  1. Ward L, Huot C, Lambert R, Deal C, Collu R, Van Vliet G. Outcome of pediatric Graves’ disease after treatment with antithyroid medication and radioiodine. Clin Invest Med 1999;22:132–139.PubMedGoogle Scholar
  2. Shulman D, Muhar I, Jorgensen V, Diamond FB, Bercu BB, Root AW. Autoimmune hyperthyroidism in prepubertal children and adolescents: comparison of clinical and biochemical features at diagnosis and responses to medical therapy. Thyroid 1997;7:755.PubMedCrossRefGoogle Scholar
  3. Rivkees SA, Sklar C, Freemark, M. The management of Graves’ disease in children with special emphasis on radioiodine treatment. J Clin Endocrinol Metab 1998;83:3767.PubMedCrossRefGoogle Scholar
  4. Hamburger, JI. Management of hyperthyroidism in children and adolescents. J Clin Endocrinol Metab 1985;60:1019.PubMedCrossRefGoogle Scholar
  5. Levy WJ, Schumacher P, Gupta M. Treatment of childhood Graves’ disease. A review with emphasis on radioiodine treatment. Cleve Clin J Med 1988;55:373.PubMedGoogle Scholar

Copyright information

© Humana Press Inc., Totowa, NJ 2005

Personalised recommendations