Question
A 12-year-old boy is 130 centimeters tall, with short limbs, slow growth in height, and normal intellectual development. His hyper-sensitive thyroid-stimulating hormone (TSH) levels are high, while other indicators are normal. He has been taking Thyroxine for over a year, and his TSH levels keep rising while other indicators keep decreasing. What treatment should be considered?
Answer
If intellectual development is normal, it should be ruled out that the growth delay is caused by hypothyroidism (cretinism) in children. After taking Thyroxine for a year, if the TSH levels continue to rise, it further excludes the possibility of cretinism. It is recommended to go to the hospital for blood tests to check growth hormone levels and undergo a pituitary CT scan to rule out pituitary-related diseases.