I 12 yrs Boy, overweight, came for small genitals. how to investigate? ls it small for age or it will increase in size with time or is it embedded in fat. Wait and watch policy to be adopted or it will be too late?

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WHAT IS BMI LOOKING EMBEDDED INTO FAT TESTICLES SIZE PENILE SIZE SEEMS NORMAL BEFORE LABEL IT OBESE BMI MUST BE CALCULATED INVESTIGATIONS ADVICE TSH BLOOD SUGAR GH ACTH CORTISOL ILGF NUTRITIONAL AND DIETARY FACTS AND HISTORY CT ABDOMEN FOR PANCREATIC AND ADRENAL PATHOLOGY MRI BRAIN TO RULE OUT PITUITARY PATHOLOGY

Excellent Dr Pareek.
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Needs Anthropometric data. 12 years boy, appers Obese ! Hair-line is low. Acanthosis Nigricans + For Genitals needs measurement after strech. For Testicular volume needs Estimation of volume. WORK UP WITH : TSH, T4, T3, RFT, LFT, MRI BRAIN, APART FROM RELEVANT TESTS. DX : ? OBESITY. D/D : HYPOTHYROIDISM. R/O : SYNDROME - X. MEN TYPE I & II.

Wt how much? Seems to be over weight from pic Failures to develop sexually No pubic hairs Penile nd testes size r smaller Lags behind Tanner development scale Needs hormones studies Referral to Pediatric endocrinologist

Lawrence moon biedl or Beidle Bardet syndrome to be ruled out. Or Simple obesity with Acanthosis Nigricans.Genitals are essentially normal but buried in fat pads of the abdomen. Treatment is urgent weight loss. To prevent future Diabetes /Carbohydrate intolerance.

HE HAS ADEPOSITY SUBNORMAL SEXUAL DEVOLPEMENT IN HE HAS POLYDECTALY DWARFISM MENTAL RETARDATION RETINITIS PIGMENTOSA DX OF L M.B SYNDROME CAN BE MADE

Within 2 days, lab reports will come, l will repost. USG abd, fatty liver,rest normal. USG scrotum, testes normal 19#8,and 21#9mm

This is Frohlich Syndrome or AdiposoGenital dysplasia/Dystrophy . Hormone analysis . Needs testosterone therapy if Diagnosed !!

This normal for his age.. because he is obese.it looks like that.

Hormonal assay ,testosterone,LH,FSH

I agree with Dr.A Pareek.

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