Pm. Kadmon et al., Thyroid storm in a child following radioactive iodine (RAI) therapy: A consequence of RAI versus withdrawal of antithyroid medication, J CLIN END, 86(5), 2001, pp. 1865-1867
A 7.5-yr-old boy with Graves' disease, difficult to control with antithyroi
d medication and radioactive iodine (RAI) therapy, developed thyroid storm
encephalopathy on day 13 after withdrawal of methimazole therapy, 4 days af
ter iodione-131 treatment. We attributed his thyroid storm to withdrawal of
antithyroid medication as opposed to RAI therapy. We interpret this case a
s indicating that there may be a need to reevaluate the duration of antithy
roid medication withdrawal before RAI therapy for hyperthyroid children at
increased risk for thyroid storm.