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Amaç: Obezite; Türkiye’de ve dünyada, sıklığı giderek artan önemli bir halk sağlığı sorunudur. Sendromik obezite, obezitenin nadir ancak önemli bir nedenidir. Çalışmada amaç; obez olguların poliklinik değerlendirmesinde hangi hikaye ve fizik muayene bulguları ile sendromik obeziteden şüphenilmeli sorusunu akla getirmektir. Böylece bu olgulara erken tanı konularak hayatı tehdit edebilecek ek anomalilerin erken fark edilmesi ve tedavisi sağlanacaktır. Gereç ve Yöntemler: Bu çalışmada Ankara Şehir Hastanesi, Çocuk Endokrinoloji polikliniğine Ocak 2019-Ocak 2021 tarihleri arasında başvurmuş ve bu yıllarda takip edilmekte olan 18 yaş altı 17 sendromik obez olgu dahil edilmiştir. Olguların fizik muayene ve antropometrik değerlendirmeleri, laboratuvar bulguları, görme ve işitme muayeneleri, renal ve hepatobiliyer görüntülemeleri, ekokardiyografik değerlendirmeleri, psikiyatrik değerlendirmeleri, ek hastalıkları, kullandıkları ilaçlar ve mevcut genetik sonuçları dosyaları taranarak toplanmıştır. Bulgular: Çalışmaya toplam 17 olgu dahil edildi. Bu olguların dokuzu kız, sekizi erkekti. Olguların en erken tanı yaşı 2 yaş; en geç tanı yaşı 12 yaş 6 aydı. Dört olgu Prader Willi sendromu, üç olgu Bardet Biedel sendromu, altı olgu Alström sendromu, dört olgu psödohipoparatiroidi Tip1 A tanısı aldı. Başvuru şikayeti 13 olguda kilo fazlalığı, aşırı yeme isteğiydi. Ancak psödohipoparatiroidi nedeniyle başvuran üç olgunun başvuru şikayeti hipokalsemiye bağlı semptomlar iken, bir olgununki boy kısalığıydı. Sonuç: Olgularımızda en erken tanı yaşının 2 yaş olması çocuk poliklinik muayenelerinde fizik muayene ve anamnez alımının daha dikkatli yapılması gerektiğini göstermiştir. Ayrıca olguların son poliklinik muayeneleri obezitenin önlenmesi ve takibinde beklenilen başarının sağlanamadığını göstermiştir. Ailelerin bu konuda daha fazla eğitim almaları ve tedavide daha aktif rol almaları hastaları artan obezite derecesinden ve ek komplikasyonlardan koruyacaktır. Bu makale 24-09-2021 tarihinde geri çekildi. https://dergipark.org.tr/tr/pub/tchd/issue/65826/1018461
Obesity; in Turkey and in the world, the frequency is an increasingly important public health issue. Syndromic obesity is a rare but significant cause of obesity. The objective of the study is to make the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question of the question. This will ensure early detection and treatment of additional abnormalities that may be life-threatening by early diagnosis of these events. Tools and Methods: In this study, the Ankara City Hospital applied to the Children's Endocrinology Clinic between January 2019 and January 2021 and included 17 Syndromic Obesity Facts under the age of 18 who are being followed in these years. The physical examination and anthropometric assessments of the facts, laboratory findings, vision and hearing examinations, renal and hepatobily imaging, ecocardiographic assessments, psychiatric assessments, additional diseases, medications they use and existing genetic results are collected by scanning files. Results: In total 17 facts were included in the study. Nine of these cases were girls, eight men. The earliest diagnosis age was 2 years; the late diagnosis age was 12 years and 6 months. Four cases of Prader Willi syndrome, three cases of Bardet Biedel syndrome, six cases of Alström syndrome, four cases of psédohipoparathyroid type 1 A were diagnosed. The application complaint in 13 cases was overweight, desire for excess food. But the application of the three phenomena applied for pseudohipoparathyroidism, while symptoms associated with hypocalcemia, was a shortening of the size of the phenomena. The result: in our cases, the earliest diagnosis age of 2 years has shown that the physical examination and anamnesis should be taken more carefully in children's clinical examinations. Furthermore, recent clinical examinations of the facts have shown that the expected success in obesity prevention and follow-up has not been achieved. More education and more active role in the treatment will protect patients from increased obesity and additional complications. This article was withdrawn on 24-09-2021.
Objective: Obesity is an important public health problem growing increasingly in Turkey and in the world. Syndromic obesity is a rare but an important cause of obesity. Aim of the study is bringing to mind the question of which history and physical examination findings should be suspected in outpatient evaluation of syndromic obese cases. Thus, early diagnosis and treatment of additional life-threatening anomalies will be provided in these cases. Material and Methods: In this study, 17 syndromic obese patients under the age of 18 who applied to Ankara City Hospital Pediatric Endocrinology outpatient clinic between January 2019 and January 2021 were included. Physical examinations and anthropometric evaluations of the cases, laboratory findings, visual and hearing examinations, renal and hepatobiliary imaging, echocardiographic evaluations, psychiatric evaluations, additional diseases, their medications and available genetic results were collected by scanning the patient files. Results: A total of 17 cases were included in the study. Nine of these cases were girls and eight were boys. The earliest diagnosis age of the cases was 2 years and the latest diagnosis age was 12 years and 6 months. Four cases were diagnosed with Prader Willi syndrome, three cases with Bardet Biedel syndrome, six cases with Alström syndrome and four cases with pseudohypoparathyroidism Type 1 A. The application complaint was excess weight and desire to eat in 13 patients. However, three patients who diagnosed with pseudohypoparathyroidism had hypocalcemia and the other one had short stature. Conclusion: The fact that the earliest diagnosis age was 2 years in our cases showed that polyclinic physical examinations and taking anamnesis should be done more carefully. In addition, the last outpatient clinic examinations of the cases showed that the expected success could not be achieved in the prevention and follow-up of obesity. If families get more education on this subject and take important role in treatment, patients will be protected from increased obesity and additional complications. This article was retracted on September 24, 2021. https://dergipark.org.tr/en/pub/tchd/issue/65826/1018461
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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