Metrorrhagia and precocious puberty revealing primary hypothyroidism in a child with Down's syndrome.

Chemaitilly, W; Thalassinos, C; Emond, S; Thibaud, E · Arch Dis Child · 2003

case_report · Level V

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Abstract

We report a child with Down's syndrome in whom metrorrhagia and precocious puberty revealed primary autoimmune hypothyroidism. The patient had a decreased growth velocity, exaggerated weight gain, bone age delay, and bilaterally enlarged multicystic ovaries. Delays in the diagnosis and treatment of hypothyroidism can lead to this peculiar presentation.

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