Three, diagnosis and differential diagnosis of obesity in children1, children with more than the same age, the same length, average weight o
Three, diagnosis and differential diagnosis of obesity in children
1, children with more than the same age, the same length, average weight of more than 2 standard deviations for obesity.
2, obesity is more common in normal infants, some children with physiological obesity (simple obesity) into adulthood. Such children appetite, height is also high, stable growth curve. The family often have tall or obese people, ask the history should focus on the incidence of obesity, growth curve, diet history, family history and the history of central nervous system disease.
3, glucose tolerance test is a more practical method to identify physiological and pathological obesity. Adult obesity may have impaired glucose tolerance, while children generally do not change. If there is a change in glucose tolerance should be considered for pathological obesity, for further examination.
4, the physiological obese child general height is high, strong physique, subcutaneous fat distribution. Age and sex development may be a little earlier. Sometimes high blood pressure. Other checks are in the normal range.
5, the diagnosis of obesity in children note
(1) obesity easily mistaken for hypercortisolism. The disease is rare in children.
(2) breast hypertrophy: obese children, both men and women, due to the accumulation of fat in the breast, can not be mistaken for breast development.
(3) obese boys penis hypertrophy in embedded on the surface of Mons, like stunting or mistaken hermaphroditism. In addition, but also because of testicular indentation without any inguinal cryptorchidism.
(4) hairy: mild hirsutism in children can not be considered adrenal androgen excess.
(5) uneven distribution of subcutaneous fat: fat distribution in children is generally more uniform. However, severe obesity, subcutaneous fat may have a tendency to centripetal accumulation. Attention should be paid to other signs and laboratory tests in differential diagnosis.