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17th September 2024
A 42-year-old female presents with a four month history of irregular periods, lethargy, mood swings
A 42-year-old female presents with a four month history of irregular periods, lethargy, mood swings and her hands, feet and breasts feel more swollen than usual. She also explains that her skin feels oilier, and she has been sweating more than usual without exercising. Bloods are taken, and an MRI has been requested.
| TSH | 5.2 mU/l (0.38 -5.33) |
| Free T4 | 7.2 pmol/l (7.9-14.4) |
| ACTH | 15 pg/ml (10-60) |
| Cortisol 9am | 130 nmol/l (171-536) |
| Prolactin | 3259 mIU /l (<700) |
| IGF-1 | 329 nmol/l (16-118) |
| LH (follicular and luteal phase) | 5.0 IU/l (0.5-14) |
| FSH (follicular and luteal phase) | 4.9 IU/l (1.0-11) |
Which of the following is the most likely explanation for her presentation?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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