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Imaging in Van Wyk Grumbach syndrome: An uncommon presentation of hypothyroidism


Poonam Sherwani
Khanak K. Nandolia
Kirti Joshi
Radhapyari Lourembam

Abstract

Isosexual precocious puberty with ovarian masses in long-standing juvenile hypothyroidism is well described in the literature as Van Wyk  Grumbach syndrome (VWGS). The present case reports this rare entity in a 4-year-old girl who was referred for imaging to evaluate the  cause of non-traumatic bleeding per vagina. Antecedent history, clinical features and thyroid function tests were consistent with long- standing juvenile hypothyroidism with documented clinical response to thyroxine replacement therapy.



Contribution: Typical clinical and radiological features of the syndrome are reported, which helps in the early diagnosis and  management, henceforth avoiding the associated complications


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eISSN: 2078-6778
print ISSN: 1027-202X