Patient's question:
Boy, 12 years old, height 130 cm; short limbs, slow growth in height, normal intellectual development; hypersensitive TSH is high, other tests are normal; has been taking Euthyrel for over a year, TSH keeps increasing while other hormone levels keep decreasing. How should the treatment be managed?Doctor's answer:
If the intellectual development is normal, it should not be caused by hypothyroidism in children (cretinism) leading to developmental delay. The fact that TSH continues to rise after taking levothyroxine for a year further rules out cretinism.It is recommended to have blood drawn to check the growth hormone level and undergo a CT scan of the pituitary gland to rule out pituitary abnormalities.