PT  - JOURNAL ARTICLE
AU  - Anil Bhansali
AU  - P Jayaprakash
AU  - Pinaki Dutta
AU  - Rama Walia
AU  - P Ravikumar
TI  - Precocious puberty and a sellar mass
AID  - 10.1136/bcr.03.2009.1677
DP  - 2009 Jan 01
TA  - BMJ Case Reports
PG  - bcr0320091677
VI  - 2009
4099  - http://casereports.bmj.com/content/2009/bcr.03.2009.1677.short
4100  - http://casereports.bmj.com/content/2009/bcr.03.2009.1677.full
AB  - Precocious puberty in a child less than 3 years of age is usually gonadotropin dependent and is often associated with extrasellar central nervous system disorders. The present report describes the case of a 2½-year-old girl who presented with gonadotropin-independent precocious puberty and had a sellar mass. She was referred for neurosurgical intervention to our institute. On investigation, she was found to have primary hypothyroidism of autoimmune aetiology, which is rarely associated with precocious puberty and sellar mass due to thyrotroph hyperplasia. She was successfully treated with levothyroxine, and with this secondary sexual characteristics progressively regressed and the sellar mass disappeared.