Primary hypothyroidism presenting as severe vaginal bleeding in a prepubertal girl

C. M. Gordon, D. J. Austin, S. Radovick, M. R. Laufer

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)35-38
Number of pages4
JournalJournal of Pediatric and Adolescent Gynecology
Volume10
Issue number1
StatePublished - 1997
Externally publishedYes

Keywords

  • Follicular aspiration
  • Hypothyroidism
  • Ovarian hyperstimulation
  • Precocious puberty
  • Vaginal bleeding

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

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