title: Thyroidectomy in a two-year old for graves' disease.
abstract: BACKGROUND
  The most common cause of hyperthyroidism in children is graves' disease - an autoimmune disorder in which antibodies stimulate the thyrotropin receptor to signal growth thyroid gland by increasing thyroid hormone synthesis and release. It can be treated with medical therapy, radioactive iodine, or surgery.
  
  
  METHODS
  JD was a two year old male who presented with severe diarrhea and diffuse neck enlargement. Laboratory work up was consistent with graves' disease.
  
  
  CONCLUSIONS
  Despite maximal outpatient and inpatient treatment with methimazole, atenolol, prednisone, and SSKI, he suffered persistent thyrotoxicosis. He underwent near-total thyroidectomy without complication.
  
  
  CONCLUSIONS
  This case is notable as it may represent the youngest patient in the literature who has undergone thyroidectomy for graves' disease.
authors: Department of Surgery, Endocrine Surgery Research Program, The University of Chicago, 5841 S Maryland Avenue, MC 6040, Chicago, IL 60637, USA. Electronic address: Baddr.Shakhsheer@uchospitals.edu.
authors: Baddr A
authors: BA
authors: Shakhsheer
authors: Academic Endocrinology, 1315 Macom Drive, Suite 007, Naperville, IL 60564, USA.
authors: Brian
authors: B
authors: Bordini
authors: Department of Surgery, Endocrine Surgery Research Program, The University of Chicago, 5841 S Maryland Avenue, MC 6040, Chicago, IL 60637, USA.
authors: Layth
authors: L
authors: Abdulrasool
authors: Department of Surgery, Endocrine Surgery Research Program, The University of Chicago, 5841 S Maryland Avenue, MC 6040, Chicago, IL 60637, USA.
authors: Raymon
authors: R
authors: Grogan
authors: Department of Surgery, Endocrine Surgery Research Program, The University of Chicago, 5841 S Maryland Avenue, MC 6040, Chicago, IL 60637, USA.
authors: Edwin
authors: E
authors: Kaplan
keywords: Children; Graves’; Hyperthyroidism; Near total thyroidectomy; Thyroidectomy