MEDLINE Journals

    Primary hypothyroidism presenting as severe vaginal bleeding in a prepubertal girl.

    Authors

    Gordon CM, Austin DJ, Radovick S, et al. 

    Institution

    Department of Surgery, Children's Hospital Boston, Massachusetts 02115, USA.

    Source

    J Pediatr Adolesc Gynecol 1997 Feb; 10(1) :35-8.

    Abstract

    We describe a case of acquired primary hypothyroidism in a prepubertal girl who presented with profound bradycardia, precocious puberty, and severe vaginal bleeding. A pelvic ultrasound revealed markedly enlarged ovaries with numerous cysts. Cystic aspiration, in concert with L-thyroxine therapy, appeared to halt vaginal bleeding, and led to resolution of cysts. This is the first reported case of percutaneous cyst aspiration to treat ovarian hyperstimulation caused by hypothyroidism in a child.

    Mesh

    Bradycardia
    Child
    Diagnosis, Differential
    Drainage
    Estradiol
    Female
    Humans
    Hypothyroidism
    Ovarian Cysts
    Ovarian Hyperstimulation Syndrome
    Prolactin
    Puberty, Precocious
    Thyroiditis, Autoimmune
    Thyroxine
    Uterine Hemorrhage

    Language

    eng

    Pub Type(s)

    Case Reports Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

    PubMed ID

    9061633

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