RESUMEN
We retrospectively analyzed clinic records of 55 children (36 girls)with precocious puberty. Majority (34, 62%) had centralprecocious puberty, out of which 19 were idiopathic. Peripheralprecocious puberty was seen in 14 children. Congenital adrenalhyperplasia was the commonest cause of peripheral precociouspuberty (6, 42.8%)
RESUMEN
Background: Hypoglycemia in children and adolescents with type 1 diabetes has diverse etiologies. Case Characteristics: We report recurrent hypoglycemia in three children with type 1 diabetes because of insulin overdose. Intervention: Hospitalization and counseling by treating team and psychologist helped in resolving the recurrent hypoglycemia. Outcome: Improvement in glycemic control was achieved. Message: Adolescents with type 1 diabetes may take extra insulin to consume more carbohydrates, or to seek attention. Parents should share the responsibility of care of adolescents during transition phase for better glycemic control.
RESUMEN
Background: Pheochromocytomas are catecholamine producing tumors that classically present with the triad of sweating, palpitations and headache. Case characteristics: 9- year-old boy whose only presenting complaints were polyuria and polydipsia for 2 years. Observation: Routine measurement of blood pressure detected mild hypertension, and subsequent investigations revealed bilateral pheochromocytoma. Outcome: Surgical removal of the tumors resulted in complete resolution of polyuria and polydipsia. Message: The case highlights the importance of measuring BP for children as part of physical examination.