My tummy hurts – a case report of abdominal pain and macrocytic anemia caused by hypothyroidism
A 6-year-old female presented with chronic intermittent abdominal pain for 1 year. She underwent extensive investigation, imaging and invasive procedures with multiple emergency room visits. It caused a significant distress to the patient and the family with multiple missing days at school in additi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Bioscientifica
2018-08-01
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| Series: | Endocrinology, Diabetes & Metabolism Case Reports |
| Online Access: | https://edm.bioscientifica.com/view/journals/edm/2018/1/EDM18-0076.xml |
| _version_ | 1811232637560291328 |
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| author | Kewan Hamid Neha Dayalani Muhammad Jabbar Elna Saah |
| author_facet | Kewan Hamid Neha Dayalani Muhammad Jabbar Elna Saah |
| author_sort | Kewan Hamid |
| collection | DOAJ |
| description | A 6-year-old female presented with chronic intermittent abdominal pain for 1 year. She underwent extensive investigation, imaging and invasive procedures with multiple emergency room visits. It caused a significant distress to the patient and the family with multiple missing days at school in addition to financial burden and emotional stress the child endured. When clinical picture was combined with laboratory finding of macrocytic anemia, a diagnosis of hypothyroidism was made. Although chronic abdominal pain in pediatric population is usually due to functional causes such as irritable bowel syndrome, abdominal migraine and functional abdominal pain. Hypothyroidism can have unusual presentation including abdominal pain. The literature on abdominal pain as the main presentation of thyroid disorder is limited. Pediatricians should exclude hypothyroidism in a patient who presents with chronic abdominal pain. Contrast to its treatment, clinical presentation of hypothyroidism can be diverse and challenging, leading to a delay in diagnosis and causing significant morbidity. |
| first_indexed | 2024-04-12T11:07:27Z |
| format | Article |
| id | doaj.art-f700bf4cec1d4087b169d16417f54034 |
| institution | Directory Open Access Journal |
| issn | 2052-0573 2052-0573 |
| language | English |
| last_indexed | 2024-04-12T11:07:27Z |
| publishDate | 2018-08-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | Endocrinology, Diabetes & Metabolism Case Reports |
| spelling | doaj.art-f700bf4cec1d4087b169d16417f540342022-12-22T03:35:44ZengBioscientificaEndocrinology, Diabetes & Metabolism Case Reports2052-05732052-05732018-08-01111610.1530/EDM-18-0076My tummy hurts – a case report of abdominal pain and macrocytic anemia caused by hypothyroidismKewan Hamid0Neha Dayalani1Muhammad Jabbar2Elna Saah3Department of Combined Internal Medicine-Pediatrics, Hurley Medical Center, Flint, Michigan, USADepartment of Pediatrics, Hurley Children’s Hospital, Flint, Michigan, USADepartment of Pediatrics, Hurley Children’s Hospital, Flint, Michigan, USA; Division of Pediatric Endocrinology, Hurley Children’s Hospital, Flint, Michigan, USADepartment of Pediatrics, Hurley Children’s Hospital, Flint, Michigan, USA; Division of Pediatric Hematology and Oncology, Hurley Children’s Hospital, Flint, Michigan, USAA 6-year-old female presented with chronic intermittent abdominal pain for 1 year. She underwent extensive investigation, imaging and invasive procedures with multiple emergency room visits. It caused a significant distress to the patient and the family with multiple missing days at school in addition to financial burden and emotional stress the child endured. When clinical picture was combined with laboratory finding of macrocytic anemia, a diagnosis of hypothyroidism was made. Although chronic abdominal pain in pediatric population is usually due to functional causes such as irritable bowel syndrome, abdominal migraine and functional abdominal pain. Hypothyroidism can have unusual presentation including abdominal pain. The literature on abdominal pain as the main presentation of thyroid disorder is limited. Pediatricians should exclude hypothyroidism in a patient who presents with chronic abdominal pain. Contrast to its treatment, clinical presentation of hypothyroidism can be diverse and challenging, leading to a delay in diagnosis and causing significant morbidity.https://edm.bioscientifica.com/view/journals/edm/2018/1/EDM18-0076.xml |
| spellingShingle | Kewan Hamid Neha Dayalani Muhammad Jabbar Elna Saah My tummy hurts – a case report of abdominal pain and macrocytic anemia caused by hypothyroidism Endocrinology, Diabetes & Metabolism Case Reports |
| title | My tummy hurts – a case report of abdominal pain and macrocytic anemia caused by hypothyroidism |
| title_full | My tummy hurts – a case report of abdominal pain and macrocytic anemia caused by hypothyroidism |
| title_fullStr | My tummy hurts – a case report of abdominal pain and macrocytic anemia caused by hypothyroidism |
| title_full_unstemmed | My tummy hurts – a case report of abdominal pain and macrocytic anemia caused by hypothyroidism |
| title_short | My tummy hurts – a case report of abdominal pain and macrocytic anemia caused by hypothyroidism |
| title_sort | my tummy hurts a case report of abdominal pain and macrocytic anemia caused by hypothyroidism |
| url | https://edm.bioscientifica.com/view/journals/edm/2018/1/EDM18-0076.xml |
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