Monday, January 31, 2005

NEJM with a medical mystery
"A male infant was born at 38 weeks and 1 day of gestation with a weight of 3430 g. When the child was five months old, his mother noticed an unusual weight gain and a rash. He was referred for medical treatment at seven months of age. His weight was 8450 g, and his blood pressure was elevated, at 114/52 mm Hg. What is the diagnosis?"



My guess: Cushing's syndrome.

(image via NEJM)


Comments:
Is the child neurologically normal or not? Missing any developmental milestones? Hypotonus?

What was the rash like?
 
prader willie syndrome?
 
I think that the kid's obesity is allover the body not central, in cushing's syndrome obesity is characteristically central
 
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