Article:
Hypothyroidism Causing Precocious Puberty and Ovarian Torsion

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Abstract
Abstract: 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.
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Sandesh Kini Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India https://orcid.org/0000-0002-6250-2968 Ramesh Bhat Y Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India https://orcid.org/0000-0003-2919-6361 Phalguna Kousika Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India https://orcid.org/0000-0002-8703-9498 Chennakeshava Thunga Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India https://orcid.org/0000-0002-5346-7873 Koushik Handattu Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India https://orcid.org/0000-0002-0409-0555 Lakshmikanth Halegubbi Karegowda Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India https://orcid.org/0000-0003-4091-6251
Keywords
Precocious puberty, Hypothyroidism, ovarian torsion

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