A 9-year-old boy is referred to a paediatric clinic because his weight is above the 97th centile. Both parents…

Question

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…

Accepted Answer

Falling height centile

Answer

Acanthosis nigricans in the axillae

Answer

Advanced bone age

Answer

Bilateral genu valgum

Answer

Early pubic hair development

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