12th April 2024

A 14-year-old refugee has been referred to the endocrine for abnormal thyroid function tests

A 14-year-old refugee has been referred to the endocrine for abnormal thyroid function tests. She is noticeably short for her age and is wearing multiple layers of clothing on a warm sunny day, commenting that she is not used to the climate in the UK in comparison to her home country. Her blood results show a TSH of 12mU/L (0.5-5.5) and a free T4 of 6pmol/L (9-18). What is the likely cause of her condition?

Select the SINGLE most appropriate option from the list below. Select ONE option only.