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Int J Pediatr Endocrinol. 2011 Jul 24;2011:8. doi: 10.1186/1687-9856-2011-8.

Paradoxical euthyroid hormone profile in a case of Graves' disease with cardiac failure.

International journal of pediatric endocrinology

Ganesh Jevalikar, Priyanka Gupta, Vijayalakshmi Bhatia, Aditya Kapoor, Sanjay Gambhir

Affiliations

  1. Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow (U,P,), 226 014, India. [email protected].

PMID: 21899781 PMCID: PMC3168403 DOI: 10.1186/1687-9856-2011-8

Abstract

Cardiac failure is an uncommon complication of juvenile hyperthyroidism. We describe an adolescent boy with Graves' disease who developed manifestations of heart failure while on antithyroid medications. There was no evidence of any underlying cardiac disease. He had paradoxical euthyroid hormone profile which rose to hyperthyroid range when the manifestations of the cardiac failure subsided. The case highlights several unusual features of Graves' disease.

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