Growth arrest as unusual presentation of Hashimoto’s Thyroiditis in a prepubertal girl

Authors

  • Letteria Morabito Outpatient Clinic of Pediatric Endocrinology, Department of Human Pathology of Adulthood and Childhood, University of Messina
  • Antonietta Spinuzza Outpatient Clinic of Pediatric Endocrinology, Department of Human Pathology of Adulthood and Childhood, University of Messina
  • Francesca Laganà Outpatient Clinic of Pediatric Endocrinology, Department of Human Pathology of Adulthood and Childhood, University of Messina
  • Giorgia Pepe Outpatient Clinic of Pediatric Endocrinology, Department of Human Pathology of Adulthood and Childhood, University of Messina
  • Tommaso Aversa Outpatient Clinic of Pediatric Endocrinology, Department of Human Pathology of Adulthood and Childhood, University of Messina
  • Malgorzata Wasniewska Outpatient Clinic of Pediatric Endocrinology, Department of Human Pathology of Adulthood and Childhood, University of Messina

DOI:

https://doi.org/10.6092/1828-6550/APMB.107.1.2019.CCS4

Keywords:

atrophic thyroid, growth arrest, Hashimoto's thyroiditis, renal function impairment

Abstract

We describe a 13 years old girl with severe hypothyroidism due to Hashimoto’s Thyroiditis (HT) with an unusual clinical presentation, characterized only by growth arrest in absence of goiter and other clinical signs of overt hypothyroidism, like fatigue, bradycardia or worsening of school performance. The immediate start of Levotiroxine treatment resolved growth arrest and promoted pubertal development. This case confirmed that HT with overt  hypothyroidism should be considered in the differential diagnosis of severe short stature in pediatric age

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Published

2019-04-18

Issue

Vol. 107 No. 1 (2019)

Section

CLINICAL CASE SEMINAR

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