Persistent Vomiting, Abdominal Pain with Persistent Hyponatremia and Underdeveloped Genitalia
 
print

Author: Neeraj Gupta
Question
An 8 ½ years old child presented with persistent vomiting and pain in abdomen for 3-4 days. The child took treatment outside but had no improvement. Got admitted with us and the symptoms were relieved within 12 hours. Systemic examination was normal. General examination revealed small hypopigmented spots over the face mainly over the bridge of nose. There was a single hypopigmented patch over the back also. Genital examination revealed the very small testis of neonatal size and underdeveloped scrotum. Slight hyperpigmentation was noted over the knuckles and distal interphalangeal joints. Height was 120 cm. and weight was 20 kg. Lab examination done i.e. Renal and liver function tests, CBC, chest X-ray were normal except for eosinophils of 5 percent. Serum sodium was 136 and potassium was 4.0. Urinary sodium was 134, and urine osmolality was not done. Blood sugar was 139. Bicarbonate was 24 and anion gap was normal. Repeat sodium estimations were always on the lower side of normal and there was never evidence of hyperkalemia. CT scan of abdomen was normal. The patient could not be evaluated further because of financial constraints
Answer Discussion :
M
magdy girgis
bubble
suprarenal disorder
7 years ago
A
azeem khanc
bubble
3 beta hydroxy steroid dehydrogenase defficiency.
7 years ago

View More Comments
EAP 2017
Ask a Doctor
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.