What are the clinical clues that suggest a hormonal etiology for childhood obesity?

Updated: Feb 20, 2019
  • Author: Steven M Schwarz, MD, FAAP, FACN, AGAF; Chief Editor: Jatinder Bhatia, MBBS, FAAP  more...
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Answer

Clinical clues that suggest a hormonal etiology for childhood obesity include the following:

  • Weight gain out of character for the family

  • Obesity in a short child

  • Progressive weight gain without a comparable increase in linear growth

  • Dry skin, constipation, intolerance to cold, and fatigability

  • History of central nervous system (CNS) damage (eg, trauma, hemorrhage, infection, radiation, seizures)

  • Accumulation of fat in the neck and trunk but not in the arms or legs

  • Purple striae (stretch marks)

  • Hypertension

  • Inappropriate sexual development at an early age

  • Excess facial hair, acne, and/or irregular menses in a teenage girl

  • Headaches, vomiting, visual disturbances, or excessive urination and drinking

  • Treatment with certain drugs or medications


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