Open AccessHypothyroidism Causing Precocious Puberty and Ovarian Torsion
Author(s) -
Sandesh Kini,
Ramesh Y Bhat,
Phalguna Kousika,
Chennakeshava Thunga,
Koushik Handattu,
Lakshmikanth Halegubbi Karegowda
Publication year - 2019
Publication title -
journal of nepal paediatric society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.13
H-Index - 8
eISSN - 1990-7982
pISSN - 1990-7974
DOI - 10.3126/jnps.v39i3.23815
Subject(s) - medicine , precocious puberty , endocrinology , congenital hypothyroidism , ovarian torsion , thyroid , hormone , delayed puberty , girl , surgery , psychology , developmental psychology
Hypothyroidism in children causes delayed puberty. However longstanding untreated hypothyroidism can lead to precocious puberty which may be secondary to hyperprolactinemia or increased levels of thyroid stimulating hormone (TSH), enhancing the sensitivity of ovaries to circulating gonadotropins. Here we report a seven and half years old girl with hypothyroidism presenting with precocious puberty and multicystic ovaries which responded well to thyroid hormone supplementation but subsequently developed left ovarian torsion requiring surgical intervention.