Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jan 10, 2013.
What is your medical diagnosis ?
I don't think that there is a debate over the most common cause of obesity today wink)
Another cause of childhood obesity is overzealous mothers who have the access to food, overeat during pregnancy ( mostly carbs ) and that results in a very chubby / heavy newborn ( mostly fat )...no advantage, i say...infact their gross motor milestones will be delayed, becos they have to develop a lot of strength in their postural muscles to defy gravity and to be able tosit up, crawl, walk etc. But what do we instinctively say, when we see a 3.5 - 4 kg baby...ohhhh very healthy child...and the problem is compounded by overfeeding the child during infancy ( starting with early weaning )
But the child in the Spot Diagnosis seems to have a humble back ground...so may be it's a child born to a diabetic mother and then carried on from there.
may be a genetic problem like -
1) leptin resistance and leptin deficiency
[Broken External Image]:http://www.endotext.org/obesity/obesity8/figures8/figure1.jpg
Response to leptin therapy in Congenital leptin deficiency
2) I don't think this is Prader-willi becos the child seems to have sufficient tone as he is able to stand erect with all that weight.
3) Albright hereditary osteodystrophy (AHO)
4) Bardet-Biedl syndrome (BBS)
5) Alstrom syndrome ( very very rare )
or a CNS tumor causing lesion to the satiety center - Adiposogenital dystrophy ( Frohlich syndrome )
or an endocrine issue
1) i don't think this child looks like a cretin ( by any stretch of imagination )...so hypothyroidism is also unlikely
2) got to rule out an ACTH secreting tumor ( although the obesity in this case is not cushingoid )
Its a case of leptin problem. (resistant or deficiency)
leptin resistance obesity?????
Leptin resistance obesity
Answer : A Case of severe obesity in a child mostly due to leptin resistance
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