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A RARE CASE OF VAN WYK GRUMBACH SYNDROME

Hüseyin Anıl KORKMAZ

Turkish Archives of Pediatrics - 2026;61(2):175-176

Division of Pediatric Endocrinology, Department of Pediatrics, University of Health Sciences İzmir Faculty of Medicine, İzmir, Türkiye

 

Van Wyk Grumbach Syndromes (VWGS) are very rare, with fewer than 100 cases reported in the literature. The rarity of this condition is due to high thyroid-stimulating hormone (TSH) levels stimulating a follicle-stimulating hormone (FSH) effect via the FSH receptor. Both TSH and FSH hormones possess a glycoprotein structure. They exhibit intricate interrelationships within the hypothalamic-pituitary-ovarian axis, particularly in the context of negative feedback loops. Few data exist regarding cases of VWGS mimicking central precocious puberty in children; consequently, it is unclear if these cases would benefit from thyroid hormone replacement. Herein, the aim was to present a case in which a patient with peripheral precocious puberty may benefit from thyroid hormone replacement.