Question
A 18-year-old boy has suffered from frequent headaches since the age of 7-8. He has undergone brain MRI and was initially diagnosed with allergic rhinitis, treated with nasal puncture and traditional Chinese medicine. The headaches were accompanied by vomiting and anorexia, and he was hospitalized due to tachycardia. In the spring of 2017, he was hospitalized five times, treated as if he had myocarditis, and in August 2018, a rapid heart rate induced by a cold led to another hospitalization. He was diagnosed with hyperthyroidism and treated for it. On January 24, 2019, a follow-up examination showed normal thyroid function, and since the diagnosis of hyperthyroidism, his headaches have improved.
Answer
Based on the above description, the child presented with recurrent headaches that were initially diagnosed as allergic rhinitis and later mistaken for myocarditis. Ultimately, hyperthyroidism was diagnosed, and treatment led to relief from headaches. It is recommended that if the headaches have improved, further observation can be considered. Hyperthyroidism is a chronic condition that requires long-term treatment, and regular follow-up thyroid function tests are advised. Additionally, precautions should be taken to prevent colds as they can lead to recurrent allergic rhinitis.