A Child with Prostaglandin I2-associated Thyrotoxicosis: Case Report

Prostaglandin I2 (PGI2) causes hyperthyroidism, a critical complication in patients with pulmonary arterial hypertension (PAH). However, it remains unknown whether PGI2 may have unfavorable effects on thyroid function in children with congenital portosystemic venous shunt syndrome (CPSVS). We presen...

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Main Authors: Yuri Sonoda, Kenichiro Yamamura, Kanako Ishii, Kazuhiro Ohkubo, Kenji Ihara, Yasunari Sakai, Shouichi Ohga
Format: Article
Language:English
Published: Galenos Yayincilik 2019-06-01
Series:JCRPE
Subjects:
Online Access: http://www.jcrpe.org/archives/archive-detail/article-preview/a-child-with-prostaglandin-sub2-sub-associated-thy/19867
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author Yuri Sonoda
Kenichiro Yamamura
Kanako Ishii
Kazuhiro Ohkubo
Kenji Ihara
Yasunari Sakai
Shouichi Ohga
author_facet Yuri Sonoda
Kenichiro Yamamura
Kanako Ishii
Kazuhiro Ohkubo
Kenji Ihara
Yasunari Sakai
Shouichi Ohga
author_sort Yuri Sonoda
collection DOAJ
description Prostaglandin I2 (PGI2) causes hyperthyroidism, a critical complication in patients with pulmonary arterial hypertension (PAH). However, it remains unknown whether PGI2 may have unfavorable effects on thyroid function in children with congenital portosystemic venous shunt syndrome (CPSVS). We present a boy with CPSVS who developed PAH at seven years of age. During ongoing PGI2 therapy, he experienced thyrotoxicosis at 17 years of age. The literature review showed that the reported 12 patients with PAH (median 11 years of age) developed hyperthyroidism during between one and 11 years of PGI2 treatment. Only one patient survived the acute PAH crisis due to hyperthyroidism. These data provide evidence that prophylactic intervention for hyperthyroidism is indicated for children with CPSVS during PGI2 treatment.
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spelling doaj.art-5b7d28b931d34e24ada4e1e12caf2cef2023-02-15T16:07:15ZengGalenos YayincilikJCRPE1308-57271308-57352019-06-0111220721010.4274/jcrpe.galenos.2018.2018.016913049054A Child with Prostaglandin I2-associated Thyrotoxicosis: Case ReportYuri Sonoda0Kenichiro Yamamura1Kanako Ishii2Kazuhiro Ohkubo3Kenji Ihara4Yasunari Sakai5Shouichi Ohga6 Kyushu University Graduate School of Medical Sciences, Department of Pediatrics, Fukuoka, Japan Kyushu University Graduate School of Medical Sciences, Department of Pediatrics, Fukuoka, Japan Kyushu University Graduate School of Medical Sciences, Department of Pediatrics, Fukuoka, Japan Kyushu University Graduate School of Medical Sciences, Department of Pediatrics, Fukuoka, Japan Kyushu University Graduate School of Medical Sciences, Department of Pediatrics, Fukuoka, Japan Kyushu University Graduate School of Medical Sciences, Department of Pediatrics, Fukuoka, Japan Kyushu University Graduate School of Medical Sciences, Department of Pediatrics, Fukuoka, Japan Prostaglandin I2 (PGI2) causes hyperthyroidism, a critical complication in patients with pulmonary arterial hypertension (PAH). However, it remains unknown whether PGI2 may have unfavorable effects on thyroid function in children with congenital portosystemic venous shunt syndrome (CPSVS). We present a boy with CPSVS who developed PAH at seven years of age. During ongoing PGI2 therapy, he experienced thyrotoxicosis at 17 years of age. The literature review showed that the reported 12 patients with PAH (median 11 years of age) developed hyperthyroidism during between one and 11 years of PGI2 treatment. Only one patient survived the acute PAH crisis due to hyperthyroidism. These data provide evidence that prophylactic intervention for hyperthyroidism is indicated for children with CPSVS during PGI2 treatment. http://www.jcrpe.org/archives/archive-detail/article-preview/a-child-with-prostaglandin-sub2-sub-associated-thy/19867 Prostaglandin I2pulmonary arterial hypertensioncongenital portosystemic venous shunt syndromehyperthyroidism
spellingShingle Yuri Sonoda
Kenichiro Yamamura
Kanako Ishii
Kazuhiro Ohkubo
Kenji Ihara
Yasunari Sakai
Shouichi Ohga
A Child with Prostaglandin I2-associated Thyrotoxicosis: Case Report
JCRPE
Prostaglandin I2
pulmonary arterial hypertension
congenital portosystemic venous shunt syndrome
hyperthyroidism
title A Child with Prostaglandin I2-associated Thyrotoxicosis: Case Report
title_full A Child with Prostaglandin I2-associated Thyrotoxicosis: Case Report
title_fullStr A Child with Prostaglandin I2-associated Thyrotoxicosis: Case Report
title_full_unstemmed A Child with Prostaglandin I2-associated Thyrotoxicosis: Case Report
title_short A Child with Prostaglandin I2-associated Thyrotoxicosis: Case Report
title_sort child with prostaglandin i2 associated thyrotoxicosis case report
topic Prostaglandin I2
pulmonary arterial hypertension
congenital portosystemic venous shunt syndrome
hyperthyroidism
url http://www.jcrpe.org/archives/archive-detail/article-preview/a-child-with-prostaglandin-sub2-sub-associated-thy/19867
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