Initial low-dose oral levothyroxine in a child with Down syndrome, myxedema, and cardiogenic shock

Clinical Case Reports
Annika JansonRicard Nergårdh

Abstract

Myxedema is extremely rare in children, and guidelines are lacking. We treated a 12-year-old girl with myxedema and cardiogenic shock with initial low dose (0.3-2.5 μg/kg body weight/day) of oral levothyroxine and intensive care. Oral administration may safely revert children's myxedema in a dosage resembling that for hypothyroidism.

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Citations

May 13, 2020·Indian Journal of Pediatrics·Nisha TotejaKuldeep Singh
Sep 22, 2021·Journal of Pediatric Endocrinology & Metabolism : JPEM·Maria Susan AbrahamPrahada Jagannathan

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