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Unusual association of diseases/symptoms
Neonatal thyrotoxicosis presenting as persistent pulmonary hypertension
  1. Rawad Obeid1,
  2. Vaneet Kumar Kalra2,
  3. Prem Arora2,
  4. Felix Quist2,
  5. Kathleen C Moltz3,
  6. Nitin Shashikant Chouthai2
  1. 1The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit Medical Center, Children's Hospital of Michigan, Detroit, Michigan, USA
  2. 2The Carman and Ann Adams Department of Pediatrics, Division of Neonatal-Perinatal Medicine, Wayne State University School of Medicine, Detroit Medical Center, Children's Hospital of Michigan & Hutzel Women's Hospital, Detroit, Michigan, USA
  3. 3The Carman and Ann Adams Department of Pediatrics, Division of Pediatric Endocrinology, Wayne State University School of Medicine, Detroit Medical Center, Children's Hospital of Michigan & Hutzel Women's Hospital, Detroit, Michigan, USA
  1. Correspondence to Dr Prem Arora, premarora96{at}yahoo.com, premarora1112{at}gmail.com

Summary

Neonatal hyperthyroidism is a rare condition caused either by transplacental passage of thyroid-stimulating immunoglobulins from a mother with Graves’ disease or by activating mutations of the thyrotropin receptors and α-subunit of G-protein. The clinical features may vary. We report a case of neonatal thyrotoxicosis in an infant born to a mother with Graves’ disease, who presented with cardiorespiratory failure and persistent pulmonary hypertension (PPHN). PPHN resolved with specific antithyroid treatment and extracorporeal membrane oxygenation was not required.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.