Paediatricsmiddle twist
A 9-year-old boy is referred to a paediatric clinic because his weight is above the 97th centile. Both parents are overweight, he spends most of his free time on a games console, he eats large portions and he drinks about a litre of soft drink each day. He is otherwise well, is doing well at school and takes no medication. His parents ask whether a gland problem could be responsible. Which one of the following findings would most strongly suggest an underlying endocrine or genetic cause for his obesity?