Grave’s disease in a case of Goldenhar syndrome

Goldenhar syndrome (GS) is a malformation complex that involves structures arising from the first and second branchial arches. Graves’ disease an autoimmune disorder resulting in excessive production of thyroid hormones most common cause hyperthyroidism children. We are reporting this case since clinical association GS has never been reported before rare syndrome. An 11-year-old developmentally normal child presented to us with swelling front her neck for past 6 months associated loss weight, increased appetite, frequency defecation, palpitations. On examination, there was diffuse region moved deglutition did not move protrusion tongue. The also had asymmetrical face bilateral conjunctival dermoid preauricular skin tag pretragal sinus tract on left side. Hence, provisional diagnosis goitre features arch considered. Technetium 99 scan confirmed disease. started carbimazole propranolol gradual improvement symptoms noted. Propranolol given 3 until such as palpitations anxiety subsided then stopped. Carbimazole continued.