A case of dyshormonogenetic goiter complicated with growth hormone deficiency

Masayuki Kaji, Atsuko Terasaki, Hidekazu Nakato, Ikue Hata, Takashi Yokota, Manabu Fukumoto, Shuji Hamasaki

Research output: Contribution to journalArticle

Abstract

A 17-year-old male patient with dyshormonogenetic goiter complicated with follicular adenoma and growth hormone deficiency is described. He had short stature (-2.3 SD), diffuse goiter and a particularly large nodule in the right lobe of the thyroid gland. The endocrinological studies revealed slight hypothyroidism. He underwent surgical removal of the tumor, diagnosed histopathologically as follicular adenoma, embryonal type; and the diffuse goiter was diagnosed as dyshormonogenetic goiter. It was speculated that long-term hypersecretion of thyroid stimulating hormone (TSH) caused adenoma in the thyroid gland. Although the goiter disappeared after oral thyroxine replacement therapy, his height gain remained poor. Then, he was diagnosed partial growth hormone deficiency, and growth hormone therapy improved his height gain. It has been reported that a high percentage of patients with congenital hypothyroidism have additional anomalies. This is, however, the first reported case of dyshormonogenetic goiter complicated with growth hormone deficiency.

Original languageEnglish
Pages (from-to)83-87
Number of pages5
JournalActa Paediatrica Japonica (Overseas Edition)
Volume39
Issue number1
Publication statusPublished - 1997 Feb
Externally publishedYes

Keywords

  • dyshormonogenetic goiter
  • follicular adenoma
  • growth hormone deficiency
  • hypothyroidism

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Kaji, M., Terasaki, A., Nakato, H., Hata, I., Yokota, T., Fukumoto, M., & Hamasaki, S. (1997). A case of dyshormonogenetic goiter complicated with growth hormone deficiency. Acta Paediatrica Japonica (Overseas Edition), 39(1), 83-87.