Проведен анализ 121 истории болезни детей с ожирением в возрасте от 5 до 17 лет. Ведущими осложнениями и сопутствующими заболеваниями являются: гастропатология (96 %), кардиальные нарушения (50 %), метаболические нарушения (47 %), гипоталамический синдром (46 %), ускоренное или акселеративное физическое развитие (85 %), задержка полового развития у мальчиков (25 %), ускоренное половое созревание (60 %) и гиперандрогения у девочек (5 %). Установлено, что метаболический синдром в 1,5 раза чаще встречался у детей с 1-2-й степенью ожирения, чем у детей с 3-й степенью ожирения. Выявлена высокая заболеваемость детей с ожирением, что отражает сниженную иммунологическую реактивность организма.
The article describes a clinical example of iron deficiency anemia in an adult patient, taken from the outpatient practice of a hematologist. The given clinical case reflects not only the diversity of the course of the disease, but also the difficulties in interpreting the results of the study
The article describes clinical examples of growth retardation in children and adolescents of various origins, taken from the case histories of patients who were examined in the endocrinology department of the Regional Children's Clinical Hospital in the city of Astrakhan from 1994 to 2017. These clinical cases are a striking example of the variety of causes of growth retardation in children. It is necessary to direct pediatricians and other specialists to an earlier start of examination of children with short stature, since not only the prognosis of the patient's final growth, but also the patient's life, may depend on timely differential diagnosis and the correctly chosen therapeutic tactics.
Growth retardation in children and adolescents occupies a significant place in the structure of endocrine morbidity. The article reveals the gender characteristics of growth retardation, comorbidities in children and adolescents who were examined in the endocrinology department of the Regional Children's Clinical Hospital in the city of Astrakhan for 12 months of 2017. Late diagnosis and, therefore, late treatment initiation worsen the growth prognosis, thereby preventing the patient from achieving socially acceptable growth.
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