DOI: 10.36347/sjams.2017.v05i12.025

Pages: 4914-4917

Though common in adults, reports of massive pericardial effusion is rare in children secondary to hypothyroidism. Here we report very unusual case of massive pericardial effusion secondary to hypothyroidism in Downs syndrome child. A 10 year old girl presented to pediatric casualty with severe respiratory distress and fever with typical phenotypic features of Downs syndrome and clinical features of hypothyroidism. On further evaluation child was found to have massive pericardial effusion, severe primary hypothyroidism and Downs syndrome. Child improved with thyroxine supplementation.