Thyroid Disease in Children and Adolescents
A 16-year-old high school student was referred because of neck enlargement, which she had discovered recently. She was evaluated by her mother’s employer, a gynecologist. Thyroid studies showed a total thyroxine (T4) of 16.1 (4.5–12) and thyroid-stimulating hormone (TSH) of less than 0.1. Her mother reported that the patient had been unusually warm and her speech had become more rapid. The rapid speech had also been noted by her teacher. She had felt shaky at times and was biting her nails. Her menses were regular. She had noted some hair loss. Her mother was being treated for Hashimoto’s thyroiditis with hypothyroidism and several other family members had thyroid disease. She was on no medications.
KeywordsFatigue Iodine Propranolol Prolactin Hypothyroidism
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