Jul 22, 2008 03:24PM in the Pediatric Endocrinology Expert Forum
newborn babies can have some enlargement of their breast buds due to mom's estrogen and this is normal, if it is irritated it can enlarge and secrete milk, do not squeeze the area, it may have gotten infected, if it is healed you should be fine, do not worry about later development of breast cancer at this age.
Jul 22, 2008 03:21PM in the Pediatric Endocrinology Expert Forum
His bone age shows he is done growing, no gh will help, his predicted height you say is 5'10 but what are the parents heights, there is range of 4 inches either way from midparental height that is truly acceptable. I think that if his thyroid functions are normal other than antibodies his growth is not likely to be hindered due to his antibodies. I would not...
Jul 22, 2008 03:18PM in the Pediatric Endocrinology Expert Forum
short stature and obesity needs a workup but also keep in mind that we have to take into account just as you said family history, how tall are the biological parents, but also is there an inherited thyroid problem or other concern. If he is very short for age let his pediatrician decide about referral to a pediatric endocrinologist, true fighting the genetic ...
Jul 22, 2008 03:12PM in the Pediatric Endocrinology Expert Forum
Cushings is rare in children but she is almost an adult, the random cortisol is very very high, work only with an endocrinologist and if possible a pediatric endocrinologist. See what the overnight study shows, this will tell us if the brain is making the driving hormone or if it is coming from her adrenal gland itself, then they can decide about imaging her ...
Jul 22, 2008 03:08PM in the Pediatric Endocrinology Expert Forum
I would be sure that she is seeing a pediatric endocrinologist, increased uptake may mean thyroiditis due to inflammation or infection or Grave's Disease but she has no symptoms of overactive thyroid other than enlargement. Work closely with your doctor and see what her labs show and be sure the measure thyroid antibodies, often when it appear larger it reall...
Jul 08, 2008 08:42PM in the Pediatric Endocrinology Expert Forum
Even with family history of late bloomers, if he has absolutely no signs of puberty(hair, body odor, testicular enlargement) he needs at least a brief workup by a peds endo or at least by his pediatrician, I would consider a cbc, free T4, TSH, LH, FSH, free and total testosterone, estradiol, 17-OH progesterone and even genetic testing called a karyotype if ne...