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Pediatric Reports
Volume 7
Issue 3
10.4081/pr.2015.5914
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Case Report

A Rare Case of Painful Goiter Secondary to Pediatric Hashimoto’s Thyroiditis Requiring Thyroidectomy for Pain Control

by
Liladhar Kashyap
1,
Abdulhameed Alsaheel
1,
Rohan Walvekar
2,
Lawrence Simon
2 and
Ricardo Gomez
1,*
1
Division of Pediatric Endocrinology, Louisiana State University Health Sciences Center, New Orleans, LA, USA
2
Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2015, 7(3), 5914; https://doi.org/10.4081/pr.2015.5914
Submission received: 19 March 2015 / Revised: 13 July 2015 / Accepted: 21 July 2015 / Published: 28 September 2015

Abstract

Hashimoto’s thyroiditis (HT) usually presents as painless thyroid swelling. Painful pediatric HT is a rare condition with limited literature on pain management. We report a 15- year-old female who presented with 4 weeks history of fatigue, malaise and progressive, painful midline thyroid swelling. There was no difficulty in swallowing, no fever or recent upper respiratory infection symptoms. Exam was remarkable for diffusely enlarged, very tender, and non-nodular thyroid. Thyroid function tests, C-reactive protein, and complete blood count were normal. Ultrasound revealed diffusely enlarged non-nodular, non-cystic gland with mild increased vascularity. Diagnosis of HT was confirmed by biopsy and thyroid antibodies. Over a 6 week period, pain management with ibuprofen, levothyroxine, corticosteroid, gabapentin and amitriptyline was unsuccessful. Ultimately, total thyroidectomy resulted in complete resolution of thyroid pain. We can conclude that thyroidectomy may be considered for the rare case of painful HT in children.
Keywords: Painful goiter; pediatric Hashimoto’s thyroiditis; pain management Painful goiter; pediatric Hashimoto’s thyroiditis; pain management

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MDPI and ACS Style

Kashyap, L.; Alsaheel, A.; Walvekar, R.; Simon, L.; Gomez, R. A Rare Case of Painful Goiter Secondary to Pediatric Hashimoto’s Thyroiditis Requiring Thyroidectomy for Pain Control. Pediatr. Rep. 2015, 7, 5914. https://doi.org/10.4081/pr.2015.5914

AMA Style

Kashyap L, Alsaheel A, Walvekar R, Simon L, Gomez R. A Rare Case of Painful Goiter Secondary to Pediatric Hashimoto’s Thyroiditis Requiring Thyroidectomy for Pain Control. Pediatric Reports. 2015; 7(3):5914. https://doi.org/10.4081/pr.2015.5914

Chicago/Turabian Style

Kashyap, Liladhar, Abdulhameed Alsaheel, Rohan Walvekar, Lawrence Simon, and Ricardo Gomez. 2015. "A Rare Case of Painful Goiter Secondary to Pediatric Hashimoto’s Thyroiditis Requiring Thyroidectomy for Pain Control" Pediatric Reports 7, no. 3: 5914. https://doi.org/10.4081/pr.2015.5914

APA Style

Kashyap, L., Alsaheel, A., Walvekar, R., Simon, L., & Gomez, R. (2015). A Rare Case of Painful Goiter Secondary to Pediatric Hashimoto’s Thyroiditis Requiring Thyroidectomy for Pain Control. Pediatric Reports, 7(3), 5914. https://doi.org/10.4081/pr.2015.5914

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