Summary:
Children with hypothyroidism generally have delayed
pubertal development. Rare association with precocious
puberty may occur especially in long standing untreated
patients. The cardinal features of hypothyroidism induced
pseudoprecocious pubertal development include thelarche,
galactorrhoea & menarche . Other characteristic features are
absence of sexual hair & retardation of linear growth. In
this report a rare case of vaginal bleeding, large multicystic
ovaries, precocious puberty, slow physical & mental growth
in a seven and half years old girl with hypothyroidism due to
autoimmune thyroiditis is described. It is important to
recognize this syndrome because initiating simple thyroid
hormone replacement completely resolves symptoms and
hormone abnormalities, avoiding unnecessary investigations
for malignancies or surgical intervention.
Key words: Precocious puberty, Hypothyroidism,
Autoimmune thyroiditis.
(J Banagladesh Coll Phys Surg 2016; 34: 45-47)