—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.
—Descriptive case report.
—Pediatric intensive care unit.
—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.
—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.(AJDC. 1992;146:1099-1102)