Publication: Levothyroxine Overdose in a Toddler – A Case Report
Date
2021
Article Type
Case Report
Journal Title
Journal ISSN
ISSN 1990-7974 eISSN 1990-7982
Volume Title
Pages
Pages: 451 - 453
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Levothyroxine tablet overdose, can happen in children, because of unique physical nature of the tablet. Although it has a benign course, systemic symptoms of overdose may manifest in few children. This cannot be predicted based on dose consumed or by thyroid function tests. Propranolol and steroid can be used for systemic autonomic symptoms. Delayed manifestation of overdose may occur, which needs follow up. In this report, we present a toddler who had levothyroxine overdose and was managed with monitoring and follow up. Her hyperactivity was managed with oral triclofos. We would also like to emphasize that serial thyroid function tests are not needed in these children.
Description
Radha Thiyagarajan
Department of Paediatrics, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamilnadu, India
Thasma Santhanakrishnan Arunprasath
Department of Paediatrics, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamilnadu, India
https://orcid.org/0000-0002-4897-5400
Keywords
Hyperactivity, Levothyroxine, Triclofos, Thyroid function test, Toddler
Identifier
https://doi.org/10.3126/jnps.v41i3.40478