Piziak V K, Hahn H B
Clin Pediatr (Phila). 1984 Mar;23(3):177-9. doi: 10.1177/000992288402300310.
Isolated menarche is an unusual presentation of the advanced sexual development relative to bone age found in some patients with juvenile hypothyroidism. A case is presented, demonstrating that hypothyroidism should be considered in the evaluation of vaginal bleeding in childhood, particularly if skeletal maturation is delayed.
