TY - JOUR
T1 - A case of dyshormonogenetic goiter complicated with growth hormone deficiency
AU - Kaji, Masayuki
AU - Terasaki, Atsuko
AU - Nakato, Hidekazu
AU - Hata, Ikue
AU - Yokota, Takashi
AU - Fukumoto, Manabu
AU - Hamasaki, Shuji
PY - 1997/2
Y1 - 1997/2
N2 - 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.
AB - 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.
KW - Dyshormonogenetic goiter
KW - Follicular adenoma
KW - Growth hormone deficiency
KW - Hypothyroidism
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U2 - 10.1111/j.1442-200X.1997.tb03562.x
DO - 10.1111/j.1442-200X.1997.tb03562.x
M3 - Article
C2 - 9124061
AN - SCOPUS:0031043535
VL - 39
SP - 83
EP - 87
JO - Pediatrics International
JF - Pediatrics International
SN - 1328-8067
IS - 1
ER -