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.


METHODS
Descriptive case report.


METHODS
Pediatric intensive care unit.


METHODS
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.
Lawless
S T
ST
Department of Anesthesia/Critical Care, Alfred I. duPont Institute, Wilmington, DE 19899.
Reeves
G
G
Bowen
J R
JR
D002648:Child; D005359:Fibrous Dysplasia, Polyostotic / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013958:Thyroid Crisis / Q000209:etiology*