Question of the Week

Question :
Posted On : 06 May 2021
An 8 years old boy whose height is 3 SD below the mean for age, bone age is delayed, serum level of free T4 is normal, TSH level is one and half times the upper limit of normal (about 9), no thyroid swelling, but poor school performance and amnesia. The question is does a mild elevation of TSH(subclinical hypothyroidism) Could be the cause of such a clinical state, and what about the management?
Expert Answer :
No rule out Growth Hormone deficiency too.
Answer Discussion :
Parmanand Prasad
Also rule out celiac disease
3 years ago
Sudhakar Mudkhedkar
it is hypothyroidism. would manage as such.
3 years ago

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