Thyrotoxicosis in the neonate (Management)

Below is a quick guide to the management of babies born to mothers with hyperthyroidism.
Full guideline available here.

*Cord bloods can be sent – please label as cord bloods. If not available then send bloods from baby. Thyroid function tests required 1ml in Lithium Heparin Bottle (small green)

** Features of Hyperthyroidism

• Head and Neck
  - Goitre, periorbital oedema, exopthalmos
• CNS
  - Irritable, jittery, poor sleeping , microcephaly (Head <5^th centile)
• CVS
  - Tachycardia, arrhythmias, flushing, sweating, hypertension
• GI
  - Increased appetite, diarrhoea / vomiting, excess weight loss, hepatosplenomegaly
• Other
  - jaundice
  - bruising and petechiae (thrombocytopenia)