This is a case of a patient who came to my colleague yesterday while I was sitting there. As even he was not sure about treatment plan, thought of discussing here: 9 year old female 150cm, 53kg, which receives 20 mg Methylphenidate retard due to an ADHD syndrome for 6 months. In routine laboratory control due to the medication increased TSH dropped to 9. TSH was still before medication beginning at 4.5 (upper normal). FT3 and FT4 as well as all SD AK were within normal limits.
SD Sono unremarkable except for at most slight inhomogeneity. Which further course of action should be? We were already discussing about obesity and its effect on thyroid but could'nt get any conclusion. Please help.
