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Hashimoto – treat — RACP Paediatrics MCQ

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EasyEndocrineHashimoto – treatRACP Paediatrics

A 14-year-old has fatigue, weight gain, cold intolerance, goitre. TSH 85, free T4 3 pmol/L. Strongly positive TPO and Tg antibodies. What is the diagnosis and management?

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Correct answer: E — Overt hypothyroidism – treat

Overt hypothyroidism (high TSH, low T4) with positive antibodies and goitre = Hashimoto thyroiditis. Levothyroxine 1-2 mcg/kg/day. Recheck TFTs 6-8 weeks.

Reference: RCH Melbourne – 2023; Australian Therapeutic Guidelines – 2024