Levothyroxine Overdose in a Toddler – A Case Report

Authors

  • 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

DOI:

https://doi.org/10.3126/jnps.v41i3.40478

Keywords:

Hyperactivity, Levothyroxine, Triclofos, Thyroid function test, Toddler

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.

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Author Biographies

Radha Thiyagarajan, Department of Paediatrics, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamilnadu, India

Postgraduate student,

Department of Paediatrics

Thasma Santhanakrishnan Arunprasath, Department of Paediatrics, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamilnadu, India

Associate Professor,

Department of Paediatrics.

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Published

2021-12-31

How to Cite

Thiyagarajan, R., & Arunprasath, T. S. (2021). Levothyroxine Overdose in a Toddler – A Case Report. Journal of Nepal Paediatric Society, 41(3), 451–453. https://doi.org/10.3126/jnps.v41i3.40478

Issue

Vol. 41 No. 3 (2021)

Section

Case Reports

License

Copyright (c) 2021 Radha Thiyagarajan, Thasma Santhanakrishnan Arunprasath

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