A 16 year old girl complains of constant headache, general lethargy and left lower limb weakness.

Question Number 0484

Question:
A 16 year old girl complains of constant headache, general lethargy and left lower limb weakness. On inspection she is noted to be short for her age. On examination she is found to have bilateral temporal field deficits. Her GH, ACTH and TSH levels are low. Her plasma level of prolactin is increased. Radiographic examination shows retarded bone age. The most likely diagnosis is

a) constitutional delay
b) hypothyroidism
c) Hand-Schuller-Christian Disease
d) optic chiasm glioma
e) craniopharyngioma


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