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Section-12 Endocrinology

BOOK TITLE: IAP Color Atlas of Pediatrics

Author
1. Menon PSN
2. Khadilkar Vaman
ISBN
9789351527008
DOI
10.5005/jp/books/12531_13
Edition
2/e
Publishing Year
2015
Pages
28
Author Affiliations
1. Jaber Al-Ahmed Armed Forces Hospital, Kuwait, Armed Forces Hospital, Kuait, Jaber Al-Ahmed Armed Forces Hospital, Kuwait; All India Institute of Medical Sciences, New Delhi, Jaber-Al-Ahmed Armed Forces Hospital, Kuwait City, Kuwait, Armed Forces Hospital, Kuwait, All India Institute of Medical Sciences New Delhi; Armed Forces Hospital, Kuwait, Jaber-Al-Ahmed Armed Forces Hospital, Kuwait, Indian Society for Pediatric and Adolescent Endocrinology 2011-12; Jaber Al-Ahmed Armed Forces Hospital, Kuwait, Jaber Al-Ahmed Anned Forces Hospital, Kuwait, All India Institute of Medical Sciences, New Delhi, e-mail: psnmenon@hotmail.com, AIIMS, New Delhi, India, Jaber Al-Ahmed Armed Forces Hospital, Kuwait, Email: psnmenon@hotmail.com, AIIMS, New Delhi, e-mail: psnmenon@hotmail.com, Jaber Al-Ahmed Armed Forces Hospital, PO Box No 5819, Salmiya 22069, Kuwait
2. Health Sciences, Pune University, Jehangir Hospital, Pune, Bombay Hospital, Mumbai, Maharashtra, Jehangir Hospital, Pune, Bombay Hospital, Mumbai, Maharashtra, India, Jehangir Hospital, Pune and Bombay Hospital, Mumbai, Department of Health Sciences, Savitribai Phule Pune University, Pune, Maharashtra, India, Jehangir Hospital, Pune, Bombay Hospital, Mumbai; Bharati Vidyapeeth Medical College, Pune, Maharashtra, Jehangir Hospital, Pune and Bombay Hospital, Mumbai, Maharashtra, India; Bharati Vidyapeeth Medical College, Pune, Maharashtra, India, Jehangir Hospital, Pune and Bombay Hospital, Mumbai, Maharashtra, India; Bharati Vidyapeeth Hospital and Medical College, Pune, Maharashtra, India, Pune, Maharashtra, India, Jehangir Hospital, Pune and Bombay Hospital Mumbai, Maharashtra, India; Bharati Vidyapeeth Hospital and Medical College Pune, Maharashtra, India, Jehangir Hospital, Pune; Bombay Hospital, Mumbai, Maharashtra, India; Bharati Vidyapeeth Medical College, Pune, Maharashtra, India, Jehangir Hospital and
Chapter keywords
insulin resistance, diabetes control, acanthosis, androgen therapy, atypical genitalia, endocrinology

Abstract

This chapter discusses about the common and uncommon conditions, emergencies, and syndromes in endocrinology. Obesity leads to a myriad of secondary effects such as insulin resistance seen here as acanthosis. Weight loss reduces insulin resistance and thus acanthosis. Insulin resistance needs to be proved by fasting glucose and insulin values. Response to androgen therapy in the first few weeks helps in gender assignment in case of atypical genitalia where both gonads are palpable usually come under the category of 46 XY DSD. The concealed buried penis is a normally developed penis that is camouflaged by the suprapubic fat pad, and is the result of obesity or rarely may be congenital or iatrogenic after circumcision. Poor glycemic control leads to the syndrome of limited joint mobility. Improved diabetes control with home glucose monitoring, intensive insulin regime, proper nutrition and exercise is necessary to prevent further complications.

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