REVERSIBLE PULMONARY-HYPERTENSION IN NEONATAL GRAVES-DISEASE

Neonatal thyrotoxicosis may occur by transplacental transfer of thyroi d stimulating immunogloubins from the mother, Although the clinical ma nifestations may vary in the new born period, hyperthyroidism has been associated with several cardiac complications including supraventricu lar tachycardia, cardiomyopathy and congestive cardiac failure. We rep ort the case of a nine day old baby who presented with severe pulmonar y hypertension in association with congestive cardiac failure secondar y to neonatal thyrotoxicosis. Treatment of the heart failure and resto ration of the thyroid function resulted in complete regression of the pulmonary hypertension. The recognition and reversibility of pulmonary hypertension in neonatal Graves disease has not been previously descr ibed.