goiter in 7 year old...help.

[osorio85]

My name is heather. I have a seven year old daughter. I recently noticed what I thought was a lump in her neck. I took her to get lab work done and here are the results
Tsh 5.50 (.5-4.30) freet3 4.4 (3.4-5.1) free t4 1.3 (.9-1.6)
Bun/creatinine ratio 26.2 (6-22)
Alkaline phosphatase 447 (184-415)
Cholesterol 198 (125-170)
Ldl (calculated) 124 (0-110)
Non hdl cholesterol 142 (0-119)
Vitamin d, 25-oh, total 24 (30-100)

These are all the abnormal results. Thyroid disease runs high in my family. Could some please help. I was told by her ped that there is nothing to worry about but I know something is going on. My child does not eat alot of fatty foods so I am having a hard time to believe that her cholesterol is high because she eats junk food. Could something else be happening?

[osorio85]

Also endo called and said  antibodies were present but she did not have hashimotos

[osorio85]

She recently had an ultrasound done and the doc said everything was normal. Her neck is rather large, anyone can see something is not quit right.
Finding:
Thyroid gland somewhat hypoechoic and heterogeneous. No focal nodules. Right lobe measures 45x21x15 mm and left lobe measures 21x16x16mm. Isthmus thickness is 4mm.
The right seems larger than the left and the isthmus seems rather larger for a 7 year old.

Any ideas?

[Mark Lupo, M.D.]

If there is a family history of thyroid problems - would test TPO antibody as this may be hashimoto's with mild hypothyroidism (slightly high TSH).  This could increase cholesterol slightly.

[ksmom98]

If you are able, I would consult with a pediatric endocrinologist. My daughter is 15 and had some abnormal results with an enlarged thyroid. We have an appointment in 3 weeks.