Open Access
Subscription Access
Open Access
Subscription Access
Graves’ Disease In Patient With Down’s Syndrome – Not So Uncommon
Subscribe/Renew Journal
Down’s syndrome (DS) is one of the most common chromosomal disorders (one in 800 births) and the most common cause of mental retardation. It is well known that patients with Down’s syndrome have an increased prevalence of autoimmune disorders, affecting both endocrine and non-endocrine organs. The most common autoimmune disease in Down’s syndrome is related to the thyroid gland. Hyperthyroidism is also found at a higher-than-average rate in patients with DS, although only isolated cases have been reported. We here report a case of a 10-year-old female child showing a rare association between Graves’ and Down’s syndrome. The child had symptoms of anxiety, weight loss and swelling in neck. The symptoms gradually improved with methamizole.
Keywords
Down’s Syndrome, Graves’ Diseases, Thyroid, Autoimmune Disease.
Subscription
Login to verify subscription
User
Font Size
Information
- Hassold Tj, Jacobs PA (1984) Trisomy in man, Annu Rev Genet 18: 69-97
- Rohrer TR, Hennes P, Thon A, Dost A, Grabert M, et al. (2010). Down’s syndrome in diabetic patients ages < 20 years: an analysis of metabolic status, glycaemic control and autoimmunity in comparison with type 1 diabetes. Diabetologia 53:1070-1075.
- Fort P, Lifshitz F, Bellisario R, et al. Abnormalities of thyroid function in infants with Down syndrome. J Pediatr 1984;104:545–9.
- Pueschel SM, Pezzullo JC. Thyroid dysfunction in Down syndrome. Am J Dis Child 1985;139:636–9
- Gershwin ME, Crinella FM, Castles JJ, Trent JKT. Immune characteristics of Down’s syndrome. J MentDefic Res 1977;21 :237-49.
- De Luca F, corrias A, Salderno M, Wasniewska M, Gastaldi R, et al. (2010) Peculiarities of Graves’ disease in children and adolescent with Down’s syndrome. Eur J Endocrinol 162:591-595
- Wang S, Mao S, Zhao G, Wu H (2000) relationship between estrogen receptor and Graves’ disease, ZhonghuaWaiKeZaZhi 38:619-621
- Kisiel B, Bednarczuk t, Kostrzewa G, KosiA, ska J, MiAkiewicz P, et al. (2008) Polymorphism of the oestrogen receptor beta gene (ESR2) is associated with susceptibility of Graves’ disease. Clin Endocrinal (Oxf) 68: 429-434
- Goday- Arno A, Cerda- Esteva m, Flores – Le- Roux JA, Chillaron – Jordan JJ, Corretger JM, et al. (2009) Hyperthyroidism in a population with Down Syndrome (DS). ClinEndocrinol (Oxf) 71:110-114
- American Academy of Pediatrics, Committee on Genetics. Health supervision for children with Down syndrome. Pediatrics. 2001;107:442–9
- Kaguelidou F, Alberti C, Castanet M, Guitteny MA, Czernichow P, Leger J for the French Childhood Graves’ Disease Study Group. Predictors of autoimmune hyperthyroidism relapse in children after discontinuation of antithyroid drug treatment. J ClinEndocrinolMetab 2008; 93: 3817-26.
Abstract Views: 241
PDF Views: 0