4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Hello,I am a pediatrician. I have a patient. He is 9 months old.He has short stature, low weight and small head circumference. He has not increased in his head circumference. In his lab test :TSH=9 & has mild anemia. I prescribed levothyroxin 12.5microgram & ferrous sulfate for him. After pne week I increased dose of levothyroxine to 19microgram.Immediately after that he became restless. He just took one dose of 19microgram & I immediately discontinued it, but he has not changed & has become even worse. He is severely pale, tachypneic & restless. ? Hb=10 PLT=120000 RBC=3.500000 WBC=125000 Would you please guide me? Is that because of levothyroxine? Thank you.
Answer
TSH appears to be in the normal range. What are the normal laboratory reference values for the particular lab that you got the TSH done from?
If you suspect hypothyroidism, one should do a complete thyroid profile including T3, T4, Free T3 and Free T4 before starting treatment. Also try and find the etiology of hypothyroidism in a nine month old.
In the meantime treat him for anemia.

 
 
 
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