Poor Growth in an 8-year-old Boy from Ethiopia
| Autor: | Kelly Dietz, Jessica Hane, Cynthia R. Howard, Stacene R. Maroushek |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Percentile Growth chart Tuberculosis medicine.diagnostic_test business.industry Reference range Physical examination medicine.disease Weight loss Pediatrics Perinatology and Child Health Medicine Humans Medical history Ethiopia medicine.symptom Mantoux Tuberculin Skin Test business Child Growth Disorders |
| Zdroj: | Pediatrics in review. 42(9) |
| ISSN: | 1526-3347 |
| Popis: | 1. Jessica Hane, MD* 2. Cynthia Howard, MD, MPHTM* 3. Kelly Dietz, MD† 4. Stacene R. Maroushek, MD, PhD, MPH‡ 1. *Division of Pediatric Hospital Medicine and 2. †Department of Radiology, Pediatrics Division, and 3. ‡Division of Pediatric Infectious Disease, Hennepin Healthcare and University of Minnesota School of Medicine, Minneapolis, MN An 8-year-old boy presents to the adoption clinic for behavioral concerns and poor growth. The patient was adopted from Ethiopia 2 years before presentation. His medical history is significant for physical abuse and multiple housing transitions, including time spent in an orphanage. The patient does not have any immunization records but was noted to have a borderline Mantoux tuberculin skin test (TST) on arrival in the United States at an outside clinic. His parents are concerned that he has not grown taller since arriving in the United States. The patient has a good appetite and denies any fever, cough, or weight loss. He enjoys competitive running and has won multiple 5-km races. In the clinic, the patient’s weight is 48.7 lb (22.1 kg) (8th percentile on the Centers for Disease Control and Prevention [CDC] growth chart), height is 47.2 in (119.8 cm) (third percentile on the CDC growth chart), BMI is 15.4 (37th percentile on the CDC growth chart), and occipital frontal circumference is 21.3 in (54 cm) (75th percentile on the CDC growth chart). The physical examination reveals a small-for-age but otherwise well-appearing child. His lung fields are clear bilaterally, and no lymphadenopathy is appreciated. His complete blood cell count is normal except for a mildly elevated absolute eosinophil count of 600/μL (0.6 × 109/L). His thyrotropin level is normal (1.61 mIU/L), free thyroxine level is normal (1.23 ng/dL \[15.83 pmol/L]), insulinlike growth factor binding protein 3 level is normal (2,100 ng/mL [275 nmol/L]), insulinlike growth factor 1 level is low normal (63 ng/mL [8.25 nmol/L\] (reference range, 62–349 ng/mL [8.12–45.72 nmol/L]), and 25-hydroxyvitamin D level is low normal (23 ng/mL [57.41 nmol/L]). Results of human immunodeficiency virus 1 and 2 antibody, hepatitis B surface antibody and antigen, hepatitis C antibody, and Treponema pallidum antibody tests are all negative. … |
| Databáze: | OpenAIRE |
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