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Pamela A. Clark, MD; Bradley M. Rogers, MD; Alan D. Rogol, MD, PhD

Arch Pediatr Adolesc Med. 1995;149(6):697-698.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE PATIENT is a 14-year-old girl referred 6 months earlier by her pediatrician for examination of a right thyroid nodule detected during a routine physical examination. She was asymptomatic, and results of the thyroid function studies obtained are shown in the Table. A technetium-99m pertechnetate thyroid scan revealed two "hot" nodules replacing the right lobe of the gland and a normal-sized left lobe with diminished uptake (Figure). Levothyroxine sodium therapy, 100 µg/d, was begun to suppress the nodules. Five months after initiating therapy, further enlargement of the gland was noted, and the dose of levothyroxine sodium was increased to 125 µg/d. Results of thyroid function studies at that time are shown in the Table.

When seen 6 months later by a pediatric endocrinologist, she was asymptomatic except for abdominal cramping and diarrhea related to the increased dose of levothyroxine. Assessment of her medical history was negative, with normal onset . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Pediatrics (Drs Clark, Rogers, and Rogol), Surgery (Dr Rogers), and Pharmacology (Dr Rogol), University of Virginia Health Sciences Center, Charlottesville.

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