Abstract
Pancytopenia secondary to hypothyroidism in a 13-year-old male child
Highlights
The thyroid gland synthesizes and secrets two major hormones, known as 3, 5, 3’-triiodothyronine (T3) and 3, 5, 3’, 5’-tetraiodothyronine (T4) or thyroxin, which have critical role in early brain development, somatic growth, bone maturation, protein synthesis and regulate production of red blood cells
We describe a rare case of pancytopenia secondary to hypothyroidism in a 13-year-old male child
The pancytopenia resolved after thyroxine replacement [7]
Summary
The thyroid gland synthesizes and secrets two major hormones, known as 3, 5, 3’-triiodothyronine (T3) and 3, 5, 3’, 5’-tetraiodothyronine (T4) or thyroxin, which have critical role in early brain development, somatic growth, bone maturation, protein synthesis and regulate production of red blood cells. We describe a rare case of pancytopenia secondary to hypothyroidism in a 13-year-old male child. One hour before the arrival he experienced an episode of loss of consciousness lasting 15 seconds He had no significant past medical history and an unremarkable perinatal history (he was born full term, weighting 3.500 gr, with Apgar score 110 and 510). He was not taking any medication and there was a family history of Hashimoto's thyroiditis On physical examination he was in good general condition with a temperature of 36.4 oC, blood pressure 95/53 mm Hg, heart rate 92 beats per minute, and Spo2 99%. On subsequent endocrine outpatient follow-up 3 months later, the patient’s repeat blood counts (RBC, PLT) and thyroid function hormones had normalized showing resolution of pancytopenia.
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