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Hypothyroidism is a frequently encountered endocrine disorder, and severe untreated juvenile hypothyroidism may manifest as precocious puberty with ovarian enlargement, a clinical triad first described by Van Wyk and Grumbach in 1960.1
It is important to recognise this syndrome because unnecessary ovarian surgery can be avoided as the clinical features, in particular ovarian enlargement, can be reversed with thyroxine replacement alone.2 ,3 However, ovarian torsion as …
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