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J Korean Soc Pediatr Endocrinol Search


Ann Pediatr Endocrinol Metab > Volume 13(2); 2008 > Article
Hyperthyroidism associated with Overweight in Adolescent Girl; Case report.
Kihye Sung, Byung Ok Kwak, Sochung Chung
Department of Pediatrics, Konkuk University Medical center, Konkuk University School of Medicine, Seoul, Korea. scchung@kuh.ac.kr
The prevalence of childhood obesity is increasing worldwide in epidemic proportions, despite major efforts to promote weight reduction. Long-term follow-up indicates that obese children and adolescents tend to become obese adults. Thyroid disorders are common endocrine problems encountered in the pediatric and adolescent age group. Most reports about the relationship between thyroid dysfunction and obesity are topics about patient with hypothyroidism. Much of the rationale in trying to identify abnormalities of thyroid function in obesity is based on the concept that in hypothyroidism "slow metabolism leads to obesity". We report a case of a girl with tremor and modest weight gain. She was diagnosed as hyperthyroidism. We suggest that physicians consider a possibility of thyroid disease not only hypothyroidism but also hyperthyroidism in obese patients. To our knowledge, this is the first report of overt hyperthyroidism with obesity in children. We report a case with literature review.
Keywords: Obesity;Overweight;Hyperthyroidism


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