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Endocrinology 2018
Journal of Clinical and Molecular Endocrinology
ISSN: 2572-5432
Page 25
August 09-10, 2018
Madrid, Spain
11
th
International Conference on
Endocrinology and
Diabetology
P
rimary hypothyroidism is frequently seen in children, with a
prevalence of 2.5%, with autoimmune thyroiditis being the
most common cause of acquired hypothyroidism. It is commonly
manifested as a slowing in physical and mental activity, dull
mood, but in general its manifestations are neither sensitive nor
specific, and difficult to attribute to a particular cause. Primary
hypothyroidism also can present with precocious puberty and/
or ovarian cyst, pituitary masses are another presentation
of untreated primary hypothyroidism, which can wrongly be
diagnosed as pituitary tumors. Here, we report a case that has
both features, aiming to highlight the physiologic mechanisms
proposed to explain this phenomenon, and to draw attention
toward importance of early recognition, and proper management
of this disease because it shows that non-recognition and
suboptimal management can lead not only to a delay in diagnosis
but also to thinking about unnecessary surgical procedures. We
report a case of a 13 year old girl seeking medical advice due
to progressive abdominal mass which was enlarged gradually
over the last two years, with concern of tumor. She was found
to have features of hypothyroidism, diagnosis of Hashimoto’s
thyroiditis was made and thyroxin was started in a dose of 2 mg/
kg. Without marked improvement in her condition, she presented
to our unit asking for second opinion with fear of tumor. After
history been revised, careful examination and performing related
investigations, we labled her as a case of primary hypothyroidism,
complicated by ovarian hyperstimulation syndrome (sOHSS) and
pituitary hyperplasia
Biography
Olivia Al-Hassan graduated from the Faculty of Medicine of Baher Elgazal
University as a Medical Doctor and am MD in Pediatric and Child Health,
obtained from Sudan Medical Specialization Board. Later on she obtained
her subspeciality in Pediatric Endocrinology from ESPE (European Society
of Pediatric Endocrinology) PTCA 2016, and then started working at Jafar
Ibn Auf Tertiary Paediatric Hospital till now.
olivoniy@gmail.comPrimary hypothyroidism with ovarian cyst and pituitary mass
Olivia Al-Hassan
1
and
Mohamed Abdullah
2
1
Jafar Ibn Auf Tertiary Paediatric Hospital, Khartoum, Sudan
2
University of Khartoum, Sudan
Olivia Al-Hassan et al., J Clin Mol Endocrinol 2018, Volume 3
DOI: 10.21767/2572-5432-C2-005