Pericarditis as the presenting feature of graves: Disease in a pediatric patient

Danielle Cullen*, Neil Munjal, Hannah Chalal, Sriram Ramgopal, Emir Tas, Selma Witchel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Pericarditis is a rare presentation of thyrotoxicosis associated with Graves disease. This association has not been previously described in the pediatric literature. We report a 17-year-old male patient who presentedwith chest pain, dyspnea, and tachycardia. Hewas found to have diffuse ST-segment elevation consistent with pericarditis. At presentation, he was noted to have bilateral proptosis. Abnormal thyroid function studies and an elevated thyroid-stimulating hormone receptor antibody level confirmed the diagnosis of Graves thyrotoxicosis. The patient was treated with anti-inflammatory and antithyroid agents and improved in time.We discuss previously reported cases of Graves disease-associated pericarditis in adults, potential etiologies, and management strategies.

Original languageEnglish (US)
Pages (from-to)268-270
Number of pages3
JournalPediatric emergency care
Volume33
Issue number4
DOIs
StatePublished - Jan 1 2017

Keywords

  • Graves disease
  • Pericarditis
  • Thyrotoxicosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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