8yo female with mostly normal blood work (Lymphocyte Relative % 60, everything else is within range - though some are JUST normal). Her AST was700 and ALT 1100 last week, but seem to be trending down. Her TSH was elevated, but is now normal. Thyroglobulin was 9.9. Her thyroid was quite enlarged at one point, no nodules were present, but is now appearing to be normal. She had multiple enlarged cervical lymph nodes (2+cm) when thyroid was enlarged, no new imaging has been done to see if they have changed in size.
Symptoms include chronic fatigue, chronic leg pain (right, lower), chronic headaches, frequent nose bleeds, frequent c/o sore throat, SOB (no wheezing), c/o being cold, mouth ulcers, decrease in appetite, severe constipation.
STRONG family history of cancer and thyroid disorders.