Acquired primary hypothyroidism: vaginal bleeding in a quiet child

Wormsbecker, Anne; Clarson, Cheril
April 2010
CMAJ: Canadian Medical Association Journal;4/6/2010, Vol. 182 Issue 6, p588
Academic Journal
Case Study
The article presents a reprint of a case study originally published at www.cmaj.ca of a six year old girl who was diagnosed with hypothyroidism. It states that the girl had vaginal bleeding for nine months, had no signs of sexual abuse, but was obese and passive prior to endocrinologist's tests. Laboratory tests revealed an elevated serum thyroid-stimulating hormone, for which she was instructed to take thyroid hormone replacement. Since the treatment, the girl's social skills have improved and the bleeding has ended.


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