perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2018-63-5-183-187perinatology-747Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИCASE REPORTSКЛИНИЧЕСКИЙ СЛУЧАЙ НЕОНАТАЛЬНОГО ТИРЕОТОКСИКОЗАCLINICAL CASE OF NEONATAL THYROTOXICOSIShttps://orcid.org/0000-0002-2783-5759ШайдуллинаМ. Р.ShaydullinaM. R.

к.м.н., доц. кафедры эндокринологии; врач-детский  эндокринолог  отделе-ния эндокринологии.

https://orcid.org/0000-0001-9975-3632ШакироваА. Р.ShakirovaA. R.

асс. кафедры педиатрии с курсом поликлинической педиатрии.

420012 Казань, ул. Муштари, д. 11.

https://orcid.org/0000-0001-8713-712XЗинатуллинаА. А.ZinatullinaA. A.

асс.  кафедры  эндокринологии; врач-педиатр приемного отделения.

ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава России; ГАУЗ «Детская республиканская клиническая больница» Минздрава Республики Татарстан.РоссияKazan State Medical University; Children’s Republican Clinical Hospital of Tatarstan Republic.Russian FederationКазанская государственная медицинская академия – филиал ФГБОУ ДПО РМАНПО Минздрава России.РоссияKazan State Medical Academy – branch of the Russian Medical Academy of Post-Graduate Education.Russian Federation201820112018635183187Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20182018Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/747

Неонатальный тиреотоксикоз встречается в 1% случаев тиреотоксикоза у пациентов детского и подросткового возраста и чаще всего обусловлен болезнью Грейвса у матери. Наиболее опасными для ребенка проявлениями неонатального тиреотоксикоза являются внутриутробная задержка развития, тахикардия, нарушение сердечного ритма. В связи с высоким риском фатального нарушения сердечной деятельности в острую фазу заболевания и его серьезными последствиями для организма своевременная диагностика и старт лечения имеют большое значение. Представлен клинический случай с неонатального тиреотоксикоза, диагностированного лишь в возрасте ребенка 1 мес жизни, несмотря на отягощенный анамнез со стороны матери. Представлен план диагностического поиска и тактики ведения ребенка.

Neonatal thyrotoxicosis is 1% of all cases of thyrotoxicosis in children and adolescents and it is mostly determined by the mother’s Graves’ disease. The most dangerous manifestations of neonatal thyrotoxicosis are intrauterine growth retardation, tachycardia, and heart rhythm disturbances. Timely diagnostics and beginning of treatment are of great importance due to the high risk of fatal cardiac disruption in the acute phase of the disease and its serious consequences for the body. The article presents a clinical case of a patient with neonatal thyrotoxicosis diagnosed only at the age of 1 month, despite the mother’s burdened anamnesis; it contains a plan for diagnostic search and tactics of child management.

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The authors declare that there are no conflicts of interest present.