Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Pediatric hypothyroid
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Pediatric hypothyroid

My 16year old daughter recently had a physical. Due to 8 day periods acne ,weight and hair loss the Physician ordered some labs. Her TSH was 4.9 and testosterone 98. What should we do next? Is there a relationship between the two? She was a soy formula baby due to colic. She had alot of ear infections as a child and had a T&A at 4. She has had sinus infections every year. Also over the years she has complained of pain behind her knees and pain in her fingers. This year she had a short duration which appeared like trigger finger. Thought related to cheerleading and tendonitis.She eats well and appears overall healthy; she is 5'6" and weighs 136.
Please advise me on my next step.
Thank you SharonM
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The TSH is high-normal, would repeat to confirm and consider testing for Hashimoto's (check TPO antibodies).  This would not, however, cause a high testosterone.  There is some increase risk of hypothyroidism (high TSH) in women with PCOS which would explain the acne/hair changes & high Testosterone.

An endocrine evaluation may be in order to see if there is anything else going on (doubt pituitary, but this is a remote possibility).
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Thank you so much. Scheduled her to see Pediatric Endocrinologist and have several lab tests ordered. Do they know what causes PCOS in young girls?
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