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Stephen T. Lawless, MD; Grafton Reeves, MD; J. Richard Bowen, MD

Am J Dis Child. 1992;146(9):1099-1102.

Abstract
• Objective.
—To report a case of thyroid storm that developed in a child with McCune-Albright syndrome after orthopedic surgery. The development of thyroid storm has not previously been described after surgery in a child.

Design.
—Descriptive case report.

Setting.
—Pediatric intensive care unit.

Participant.
—Patient with McCune-Albright syndrome who developed thyroid storm.

Selection Procedures and Interventions.
—Clinical features and treatment of thyroid storm are described. A highly sensitive immunochemiluminometric thyroid-stimulating hormone assay to help diagnose hyperthyroid states is also described.

Conclusions.
—Before all operative procedures, children at high risk for thyroid dysfunction, including patients with McCune-Albright syndrome, should be screened and observed closely for the development of thyroid storm.

(AJDC. 1992;146:1099-1102)

Author Affiliations
From the Departments of Anesthesia/Critical Care (Dr Lawless), Pediatrics (Dr Reeves), and Orthopedics (Dr Bowen), Alfred I. duPont Institute, Wilmington, Del, and Thomas Jefferson University School of Medicine, Philadelphia, Pa.

Footnotes
Accepted for publication May 11, 1992.

Reprint requests to Division of Pediatric Critical Care, Alfred I. duPont Institute, PO Box 269, Wilmington, DE 19899 (Dr Lawless).

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