Labels:text | screenshot | black | black and white | font | document OCR: s and girls Severe untreated hypothyroidism in bo precocity, may be associated with incomplete sexu primary Levels of plasma prolactin are elevated i hypothyroidism, and galactorrhea may b han in boys demonstrable more commonly in girls t n any child Growth is impaired in these patients as i rtal growthwith hypothyroidism so there is no pube ment, spurt. Girls may manifest breast develop the vaginalmenstrual flow and oestrogen effects on ases in boysmucosa, while the size of the testes incre tubules. due to enlargement of the seminiferous de the sella The pituitary gland may enlarge and ero turcica due to increased TSH secretion al ng a thyrotroph hyperplasia, thereby mimick ted, sexual tumour, Once the hypothyroidism is tre 1 decrease precocity reverts, and the sella turcica w in size. Se ...