This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

THOMAS J. NEWMAN, MD; NORMAN L. VIRNIG, MD; PAKSHI R. ATHINARAYANAN, MD

Am J Dis Child. 1980;134(7):707-708.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Neonatal thyrotoxicosis presents a difficult management problem. Recent reports have proposed that neonatal thyrotoxicosis may be effectively and safely treated with propranolol hydrochloride alone.^1,2 Smith and Howard's report emphasized that their patient did not show clinical improvement while receiving iodides, thioamides, and phenobarbital until the addition of propranolol.³ A recent article has suggested that "beta blockade should be the treatment of choice for neonatal thyrotoxicosis."⁴ However, we would like to report a case in which propranolol used alone for this purpose caused episodic bradycardia without otherwise improving the patient's clinical status.

Report of a Case.—The patient was a 2,170-g female infant born at 37 weeks' gestation to a 22-year-old multigravida referred to the St Paul (Minn) Ramsey Perinatal Center. One year prior to delivery, the infant's mother had been treated with radioactive iodine for hyperthyroidism. She received 50 µg daily of levothyroxine sodium (Synthroid Tabs) during . . . [Full Text PDF of this Article]

Author Affiliations
Department of Pediatrics; Neonatal Division St Paul Ramsey Medical Center 640 Jackson St St Paul, MN 55101; Neonatal Division St Paul Ramsey Perinatal Center St Paul, Minn

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?