Spot Diagnosis

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jan 10, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

    Joined:
    Mar 21, 2011
    Messages:
    9,705
    Likes Received:
    3,314
    Trophy Points:
    16,075
    Gender:
    Male
    Practicing medicine in:
    Egypt

    What is your medical diagnosis ?

    case.jpg
     

    Add Reply

  2. neo_star

    neo_star Moderator

    Joined:
    Nov 4, 2012
    Messages:
    775
    Likes Received:
    184
    Trophy Points:
    1,545
    Practicing medicine in:
    India
    I don't think that there is a debate over the most common cause of obesity today wink)

    [​IMG]

    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.

    or

    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 )

    (-:
     

    Last edited: Jan 10, 2013
    Egyptian Doctor likes this.
  3. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

    Joined:
    Jul 28, 2012
    Messages:
    839
    Likes Received:
    38
    Trophy Points:
    1,245
    Gender:
    Male
    Practicing medicine in:
    Czech Republic
    Its a case of leptin problem. (resistant or deficiency)
     

  4. Aman Setiya

    Aman Setiya Bronze Member

    Joined:
    Nov 2, 2011
    Messages:
    282
    Likes Received:
    5
    Trophy Points:
    670
    Practicing medicine in:
    India
    leptin resistance obesity?????
     

  5. dr.angela

    dr.angela Bronze Member

    Joined:
    Jan 13, 2012
    Messages:
    361
    Likes Received:
    24
    Trophy Points:
    695
    Occupation:
    Doctor
    Practicing medicine in:
    Macedonia
    Leptin resistance obesity
     

  6. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

    Joined:
    Mar 21, 2011
    Messages:
    9,705
    Likes Received:
    3,314
    Trophy Points:
    16,075
    Gender:
    Male
    Practicing medicine in:
    Egypt
    Answer : A Case of severe obesity in a child mostly due to leptin resistance
     

Share This Page

<