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Articles

Title: Gait disturbances in course of Graves-Basedow disease - case reports

Author:
Katarzyna Ziora, Gabriela Geisler, Joanna Oświęcimska, Antoni Dyduch
Language:
PL
Journal:
Pediatric Review
Year:
2006
Volume:
36
Number:
2
Start page:
156
Final page:
159
ISSN:
0137-723X
Keywords:
hyperthyreosis, children, gait disturbances, osteoporosis
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Graves-Basedow disease (G-B d.) is the most frequent cause of hyperthyreosis in children. It occurs predominantly in girls. Occa-sionally G-B d. is diagnosed in children before 4 years of age. Typical symptoms of G-B d. in children are: goiter, loss of weight, accelerated growth, intolerance of warmth, hyperirritability, tachycardia and limb muscles weakness. Gait disturbances are associa-ted with inherited or acquired neuromuscular diseases, neurological, rheumatoid, haematological diseases etc. They are not typical for hyperthyreosis. Gait disturbance in course of hyperthyreosis has not been reported in the literature, yet. We report 2 boys with G-B d. of very early onset, at the age of 5 in one of them and at the age of 2.5 in the other. Interestingly, the disease began atypically from the gait disturbance, what impeded establishing the proper diagnosis.