Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Toddler 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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Toddler Hypothyroid?

My 24-month old has been slowly dropping height percentiles (started at 50%, down to 20% this past year).  They finally tested her TSH and T4 and her TSH came back as 4.73 and her T4 was "normal" (I don't know the value).  They are debating what to do next.  I am also hypothyroid (usually around 5.5 TSH or so, went up to about 15 when pregnant, currently on 88 micrograms of levoxyl).

My question is:  should they treat her?  What are the risks and benefits of treating and not treating?

Also, is anemia related to hypothyroidism?  I've always been anemic, and so is she.  My other daughter, for comparison, eats the same things, is 80% height and is never anemic.

Thank you so much!
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97953_tn?1193367871
The TSH of 4.73 is likely normal for 24 months of age and observation will usually be recommended over treatment.  Would check with a pediatric endocrinologist though.
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97628_tn?1204465633
Also, in addition to Dr. Lupo, there is a pediatric endocrinology expert on the board now who addresses questions related to growth and hypothyroidism in children.

http://www.medhelp.org/forums/show/173
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97953_tn?1193367871
Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
Sarasota, FL
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