Abstract

GONZALEZ RODRIGUEZ, Rebeca Ivonne; JIMENEZ ESCOBAR, Irma; CONDE LOZANO, Adriana  and  ARZATE SORIANO, Rocío Estephanía. HASHIMOTO'S THYROIDITIS IN TEENAGER WITH OBESITY. Rev Cient Cienc Méd [online]. 2019, vol.22, n.1, pp.62-67. ISSN 2077-3323.

Female patient of 14 years oíd, refers constipation, oligomenorrhea and headache. She has dorsal hump, goiter, acanthosis nigricans, geno valgus (deformity in the alignment of the knees), dry skin, Body Mass Index (BMI) 38,5 kg/m² (> Percentile 97), body fat 46,9% (bioelectrical impedance analysis), waist circumference> Percentile 90, blood pressure levels (95/60 mmHg) in normal values for age and sex. Thyroid profile:TSH 203,19 μUl/ml, FT₄ 0,29 ng/dl, anti thyroperoxidase antibodies (anti TPO) 359,4 IU / ml. Hashimoto's thyroiditis was diagnosed by detecting primary hypothyroidism coupled with elevation of anti TPO. Ultrasound of the neck with increased thyroid lobes without calcification or vascularity. Started levothyroxine 100 μg / day, 6 months of management: weight loss of 5,5 kg, BMI 36,7 kg/m2, remission of symptoms, with improvement in thyroid function tests. Patient with a history of being a pregnancy product complicated by preeclampsia, did not receive breastfeeding, early ablation, sedentary, with a weight increase since childhood.

Keywords : Thyroiditis; auto-inmune; Hashimoto disease; obesity.

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