Revista Cubana de Endocrinología
On-line version ISSN 1561-2953
FERNANDEZ TERUEL, Tamara et al. Turner´s syndrome and autoimmune thyroiditis. Rev Cubana Endocrinol [online]. 2003, vol.14, n.3, pp. 0-0. ISSN 1561-2953.
A 13-years-old female patient, who presents with the following family pathological history: mother with blood hypertension, father with peptic ulcer; no blood relationship between parents. Prenatal history: term pregnancy of 38 weeks of a second pregnancy, minus sign and little increase of uterine height. Reason for appointment: low height. On physical exam, the patient´s skin was dry and rough, augmented adipose pannicle, cubitus valgus, telethelia, low implantation of hair in trident position as well as shortening of fourth metacarpal. Thyroidal gland: increased volume of ± 25 grams, smooth surface, no pain, no nodules were detected. Negative Chvostek´s maneuver, no pubic hair, external feminine genitalia and stage I breast development (Tanner I). Supplementary studies performed: TSH 32,6 mU/L, positive anti-michrosomal antibodies, positive anti-pancreatic islets antibodies, oral chromatin of 12%, FSH 68,8 UI/L (high), LH of 12,5 UI/L (high), estrogen value of 18 pmol/L (reduced), prolactin value of 72 mU/L (reduced). In conclusion, this was a patient with a diagnosis of Turner´s syndrome and autoimmune thyroid disease together with clinical hypothyroidism.
Keywords : Turner Syndrome; thyroid autoimmunity; hypothyroidism; thyroid microsomal antibodies.