Abstract
Hypothyroidism is generally associated with delayed puberty. However it may sometimes present with incomplete precocious puberty. Also hypothyroidism may lead to pituitary hyperplasia as a feedback tumour. We present a case of 7and ½ year old hypothyroid girl who presented with an episode of vaginal bleed, and pituitary enlargement mimicking macroadenoma which subsided after 2 months of Levothyroxine replacement.
References
- An unusual presentation of acquired hypothyroidism: the Van Wyk–Grumbach syndrome. E Baranowski and W Ho¨gler Department of Endocrinology and Diabetes, Birmingham Children’s Hospital, Steel house Lane, Birmingham B4 6NH, UK
- Williams textbook of endocrinology ,13th edition, p 1190-1191
- Premature menarche associated with primary hypothyroidism in 5.5 yr old girl Dhrubajyoti Sharma, Devi Dayal, Anju Gupta, and Akshay Saxena Departments of Pediatrics, Advanced Pediatrics Center, Postgraduate Institute of Medical Education and Research,Chandigarh-160012, India
- Z. Beitins andH. H. Bode, “Hypothyroidism with elevated gonadotropin secretion,” Pediatric Research, vol. 14, no. 4, pp.475–476, 1980
- Ozbey N,et al.Int jClin Pract.1997. Primary hypothyroidism with hyperprolactinaemia and pituitary enlargement mimicking a pituitary macroadenoma.
Corresponding Author
Animesh Maiti
Associate Professor, Department of Endocrinology and Metabolism, Medical College, Kolkata, India
DOI: https://dx.doi.org/10.18535/jmscr/v6i12.117
