Acute Flaccid Paralysis in an 11-Year-Old.

Division

Far West

Hospital

Riverside Community Hospital

Document Type

Manuscript

Publication Date

11-12-2018

Keywords

injuries, rhabdomyolysis, hypothyroidism

Disciplines

Emergency Medicine | Musculoskeletal Diseases | Pediatrics

Abstract

Rhabdomyolysis is a syndrome caused by injury to skeletal muscle and subsequent release of intracellular components into the systemic circulation. We report a case of rhabdomyolysis causing acute paralysis from underlying and unrecognized hypothyroidism in an 11-year-old girl. To date, publications of rhabdomyolysis secondary to hypothyroidism have been limited, especially in the pediatric population. Early intervention with intravenous fluids and levothyroxine led to resolution of our patient's symptoms and is overall important in preventing the serious sequela of rhabdomyolysis including renal failure, cardiac dysrhythmias, compartment syndrome, and disseminated intravascular coagulation.

Publisher or Conference

Pediatric Emergency Care

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