HIV In Children

 
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Diagnostic Dilemma
Diagnostic Dilemma
Diagnostic Dilemma
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Diagnostic Dilemma
Diagnostic Dilemma
Short stature
Author : Naji Ahmed
Question
A 14 years old girl presented with short stature. Weight is 44kg {25th centile}, length is 144cm {below 3rd centile}. Past medical history reveals affection with alopecia and vitiligo for which she received lengthy courses of steroid. Now she is off steroids. She has dysmenorrhea. Thyroid function tests are normal. There is no anemia and renal function tests are normal. LH is 1ml U, ml, FSH is 2.4ml U, ml, Prolactin is 9ng, ml, Progesterone is 4nmol, l, and estradiol is 128pmol, l. No clinical evidence of Turners syndrome. Ultrasound shows follicular cyst in left ovary. Uterus and right ovary is normal. Bone age is depicted in figure 1.
Answers of this discussion
Posted By :- ravi agrawal
Posted On :- 25 April 2012
Answer :- magnesium status to be checked.

Posted By :- sree harsha
Posted On :- 29 April 2012
Answer :- looks like autoimmune polyglandular syndrome type 3

Posted By :- serdar
Posted On :- 04 May 2012
Answer :- turner syndrome has increase suceptebility to autoimmune disease even if there is no clinical evidence send for chromosomal analyesis

Posted By :- zaki mokbel
Posted On :- 05 May 2012
Answer :- adrenal harmon assay

Posted By :- hassan siddik
Posted On :- 07 May 2012
Answer :- rickets dependent type 2

Posted By :- sameer
Posted On :- 13 May 2012
Answer :- i think excess extradiol is from the follicular cyst causing suppression of fsh lh so anti estrogen treatment might be considerded and chromosomal ananlysisi is necessaryu

Posted By :- jincy joy
Posted On :- 19 May 2012
Answer :- autoimmune

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