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Tic Disorder Probably Associated with Steroid Responsive Encephalopathy with Autoimmune Thyroiditis (SREAT)

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Abstract

Steroid responsive encephalopathy with autoimmune thyroiditis (SREAT), a rare disorder in individuals of all age groups, including children, is characterized by high titers of anti-thyroid peroxidase antibodies. The present report concerns a previously healthy 12-y-old boy who presented with motor tics. The patient underwent an extensive work-up to identify the underlying etiologies and risk factors predisposing him to tic disorder. Based on the clinical and laboratory results, a diagnosis of SREAT was made. Although some studies have reported associated behavioral and cognitive changes, myoclonus, seizures, pyramidal tract dysfunction, psychosis, and coma. The authors describe a case of tic disorder, probably due to SREAT, as well as its course of treatment.

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Contributions

SS: Wrote and edited the manuscript; IE and YO: Involoved in patient care, including administration of medication and routine clinical follow- up; IE: Involved in manuscript preparation and edited at all stages along with SS; IE will act as guarantor for this paper.

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Correspondence to Semra Saygi.

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Saygi, S., Ozkale, Y. & Erol, I. Tic Disorder Probably Associated with Steroid Responsive Encephalopathy with Autoimmune Thyroiditis (SREAT). Indian J Pediatr 81, 1105–1107 (2014). https://doi.org/10.1007/s12098-014-1374-y

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  • DOI: https://doi.org/10.1007/s12098-014-1374-y

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