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Question
8 year old girl of non consanguinous parentagewith diffurs'se thyroid swellig 3years,on dexedrine since 1and1/2 years for ADHD ,average school performance,head circumference-67cm,height ,weight- normalhistory of good growth inspite of anorexia' IQ -67,systems normal,thyroid fuction test normal,thelarche +,Thyroid scan diffuse goitrewhat is the diagnosis

Answer
The child's head circumference is very high suggestive of macrocephaly. Also the IQ is low, so one should rule out a storage disorder such as CANAVANs or ALEXANDERs disease. Do an MRI of brain.
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