THE DEVELOPMENT OF THYROID STORM IN A CHILD WITH MCCUNE-ALBRIGHT SYNDROME AFTER ORTHOPEDIC-SURGERY

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.