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Obesity complications in pediatric practice

Abstract

The obesity prevalence in children and adolescents is epidemic. We report two clinical cases of adolescent constitutional exogenous obesity. A patient with progressing obesity, complicated  by dyslipidemia, diabetes mellitus type 2, proteinuria, polyneuropathy, arterial hypertension, steatohepatitis,  multiple ulcers of stomach and disseminated hemorrhagic gastritis. Another patient with obesity, complicated  with arterial hypertension, succeeded in body mass index normalization following recommendations on diet and physical activity.

About the Authors

A. V. Vitebskaya
I.M. Sechenov First Moscow State Medical University
Russian Federation

Alisa V. Vitebskaya - Candidate of Medical Science, Head of Pediatric Endocrinology Department University Pediatric Hospital, I.M. Sechenov First Moscow State Medical University.

19, Bolshaya Pirogovskaya str., Moscow, 119881

Tel.: +7 (499) 248-44-33



K. V. Pyatnitskaya
I.M. Sechenov First Moscow State Medical University
Russian Federation

Resident of Pediatric Endocrinology Department, University Pediatric Hospital, I.M. Sechenov First Moscow State Medical University.

19, Bolshaya Pirogovskaya str., Moscow, 119881



References

1. Prevention and Treatment of Pediatric Obesity: An Endocrine Society Clinical Practice Guideline based on expert opinion. JCEM. 2008; 93 (12): 4576–4599.

2. Dedov I.I. Peterkova V.A. (eds). Federal clinical guidelines (protocols) on the management of children with endocrine diseases. Moscow: Practice; 2014: 442 (in Russian).

3. Recommendations for diagnosis, treatment and prevention of obesity in children and adolescents. Russian Association of endocrinologists, Russian Society for the prevention of noncommunicable diseases, the Association of children’s cardiologists Russia. Moscow: Practice; 2015: 136 (in Russian).

4. Dedov I.I., Shestakova M.V. (eds). Algorithms of specialized medical care to patients with diabetes. Diabetes. 2015; 18 (1S): 1–112 (in Russian).


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ISSN 2218-7332 (Print)
ISSN 2658-3348 (Online)