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A Rare Cause of Autistic Regression in a Boy with Down Syndrome: Hashimoto Encephalopathy
BACKGROUND: Hashimoto encephalopathy (HE) is a rare condition associated with autoimmune thyroid disease. We aimed to report the youngest patient with Down syndrome and HE with an unusual presentation. CASE REPORT: Six years and six months old boy with Down syndrome admitted due to loss of speech. H...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8276959/ https://www.ncbi.nlm.nih.gov/pubmed/34316312 http://dx.doi.org/10.4103/jpn.JPN_170_19 |
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author | Cebeci, Ayşe Nurcan Kutlu, Feyza Ekici, Barış |
author_facet | Cebeci, Ayşe Nurcan Kutlu, Feyza Ekici, Barış |
author_sort | Cebeci, Ayşe Nurcan |
collection | PubMed |
description | BACKGROUND: Hashimoto encephalopathy (HE) is a rare condition associated with autoimmune thyroid disease. We aimed to report the youngest patient with Down syndrome and HE with an unusual presentation. CASE REPORT: Six years and six months old boy with Down syndrome admitted due to loss of speech. His physical development was appropriate for his age and had no goiter. Neurological examination revealed the absence of eye contact and stereotypic movements. Autism spectrum disorder was considered based on his result on Gilliam autism evaluation scale. He had subclinical hypothyroidism with markedly elevated anti-thyroid peroxidase antibody level, rare spikes in the frontocentral area were found in electroencephalography, and cranial magnetic resonance imaging was normal. Neurologic improvement was observed to a treatment with glucocorticoid and thyroid hormone. CONCLUSION: HE might be considered in patients with Down syndrome along with progressive cognitive decline and autistic regression. |
format | Online Article Text |
id | pubmed-8276959 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-82769592021-07-26 A Rare Cause of Autistic Regression in a Boy with Down Syndrome: Hashimoto Encephalopathy Cebeci, Ayşe Nurcan Kutlu, Feyza Ekici, Barış J Pediatr Neurosci Case Reports BACKGROUND: Hashimoto encephalopathy (HE) is a rare condition associated with autoimmune thyroid disease. We aimed to report the youngest patient with Down syndrome and HE with an unusual presentation. CASE REPORT: Six years and six months old boy with Down syndrome admitted due to loss of speech. His physical development was appropriate for his age and had no goiter. Neurological examination revealed the absence of eye contact and stereotypic movements. Autism spectrum disorder was considered based on his result on Gilliam autism evaluation scale. He had subclinical hypothyroidism with markedly elevated anti-thyroid peroxidase antibody level, rare spikes in the frontocentral area were found in electroencephalography, and cranial magnetic resonance imaging was normal. Neurologic improvement was observed to a treatment with glucocorticoid and thyroid hormone. CONCLUSION: HE might be considered in patients with Down syndrome along with progressive cognitive decline and autistic regression. Wolters Kluwer - Medknow 2021 2021-06-25 /pmc/articles/PMC8276959/ /pubmed/34316312 http://dx.doi.org/10.4103/jpn.JPN_170_19 Text en Copyright: © 2021 Journal of Pediatric Neurosciences https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Reports Cebeci, Ayşe Nurcan Kutlu, Feyza Ekici, Barış A Rare Cause of Autistic Regression in a Boy with Down Syndrome: Hashimoto Encephalopathy |
title | A Rare Cause of Autistic Regression in a Boy with Down Syndrome: Hashimoto Encephalopathy |
title_full | A Rare Cause of Autistic Regression in a Boy with Down Syndrome: Hashimoto Encephalopathy |
title_fullStr | A Rare Cause of Autistic Regression in a Boy with Down Syndrome: Hashimoto Encephalopathy |
title_full_unstemmed | A Rare Cause of Autistic Regression in a Boy with Down Syndrome: Hashimoto Encephalopathy |
title_short | A Rare Cause of Autistic Regression in a Boy with Down Syndrome: Hashimoto Encephalopathy |
title_sort | rare cause of autistic regression in a boy with down syndrome: hashimoto encephalopathy |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8276959/ https://www.ncbi.nlm.nih.gov/pubmed/34316312 http://dx.doi.org/10.4103/jpn.JPN_170_19 |
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