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11 Possible Causes for Early Onset Puberty, Patient Appears Chronically Ill, X-Ray Abnormal

  • Diabetes Mellitus

    Type 1 DM usually starts in children aged 4 years or older, appearing fairly abruptly, with the peak incidence of onset at age 11-13 years (ie, in early adolescence and puberty[]

  • Anorexia Nervosa

    […] as age 8 and as late as middle age, but its onset is most common around or just after puberty.[] The onset is typically at or around puberty, although anorexia can also start as early as age 8 and in middle age.[] Onset of puberty. Criticism or perceived criticism about weight or eating behaviour. Personal characteristics: Perfectionism. Low self-esteem. Obsessional traits.[]

  • Juvenile Rheumatoid Arthritis

    He or she may also obtain x-rays of affected joints to look for bony abnormalities or evidence of joint damage.[] Puberty plus; peak 4th to 5th decade Polyarticular: throughout childhood; peak 1-3 years of age Pauciarticular: early childhood; peak 1-2 years of age Systemic: throughout[] Patients with rheumatoid arthritis appear undernourished and chronically ill. Most are anemic because of the effect of the disease on blood-forming organs.[]

  • Inflammatory Bowel Disease Type 1

    The barium and irregularity of the border between the barium and intestine shows up white on X-ray film, revealing inflammation or other abnormalities in the intestine.[] Delayed growth and onset of puberty (looking younger than your peers) will have a significant negative impact on the child's psychosocial development and self‐image.[] The barium outlines the colon, highlighting any abnormalities. An X-ray is taken. Your doctor can look for evidence of Crohn's disease.[]

  • Gastrointestinal Sarcoidosis

    Sarcoidosis is often found in patients who don't have any symptoms of sarcoidosis but who have abnormal chest X-ray results.[] Early onset childhood sarcoidosis Early onset childhood sarcoidosis (ie, with onset in the first 4 y of life) is a rare disease and appears to be different from sarcoidosis[] Patients may be free of chest symptoms despite an abnormal chest x-ray and biopsy-proven sarcoidosis.[]

  • Systemic Mastocytosis

    In patients with situs inversus totalis, all of the chest and abdominal organs are reversed and appear in mirror image when examined or visualized by tests such as X-ray filming[] A childhood onset form is distinguished from the adult onset form by its early appearance (usually within the first year of life) and good prognosis with spontaneous resolution[] Radiographic (or radiologic) examinations are techniques (such as x-rays) that use radiation (a type of energy) to generate pictures of the inside of the body.[]

  • Psychogenic Hyperventilation

    Pseudogout is suggested when abnormal calcifications are seen in the cartilage of joints on X-rays.[] In men, uric acid levels rise at puberty, and the peak age of onset of gout in men is in the fourth to sixth decade of life.[] That patients with HVS appear ill tends to prompt further esoteric testing, which is inevitably nondiagnostic.[]

  • Suprasellar Tumor

    […] sella turcica x-ray.[] The high testosterone level in males inducing early onset of puberty, can be due to increased β-hCG.[] On examination, the patient appeared to be pale, slender, and chronically ill. Her pubic hairs were scanty and axillary hairs were absent.[]

  • ACTH-Dependent Cushing Syndrome

    […] that may not show up on an ordinary x-ray.[] However, the classic end-organ effects of glucocorticoid excess, including thinning of the skin, proximal myopathy, easy bruising, and early onset osteoporosis, are not usually[] On physical examination the patient appeared chronically ill, sitting in her wheelchair. She had a round face but no plethora.[]

  • Telangiectasia Macularis Eruptiva Perstans

    Bone density scan and skeletal X-rays. Bone marrow biopsy/aspirate.[] Age Most patients with mastocytosis are children; 75% of cases occur during infancy or early childhood and usually resolve by puberty.[] Especially when seen in the context of pre-existing chronic multisystem inflammatory illness, the appearance in the patient of “unusual” new clinical phenomena should provoke[]

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