hrp0098p1-242 | Fat, Metabolism and Obesity 4 | ESPE2024

GNAS mutation: an under-rated cause of severe early-onset obesity!

Alkaramany Samaa , Abdelmeguid Yasmine , Khater Doaa , El Awwa Ahmed

Background: GNAS encodes the Gαs (stimulatory G-protein alpha subunit) protein, which mediates G protein–coupled receptor (GPCR) signaling. Mutations in GNAS are known to cause pseudohypoparathyroidism (PHP). Children with this condition are overweight, have learning difficulties, are often short and have skeletal changes and hormone resistance.Case report: We-herein-report a 6-month-old mal...

hrp0098p3-107 | Fat, Metabolism and Obesity | ESPE2024

Clinical, Laboratory, and Molecular Characteristics Of Cases With Early-Onset Obesity: a single-center experience in Egypt.

Abdelmeguid Yasmine , Alkaramany Samaa , Khater Doaa , El Awwa Ahmed

Introduction: Monogenic obesity is a rare form of obesity. It should be suspected if patients have severe early-onset obesity, rapid weight gain in the first 2 years of life, hyperphagia, positive family history, and additional clinical manifestations. Genetic testing is highly recommended in such cases, as new pharmacological therapies for several types of genetic obesity exist. Hence, we sought to evaluate the clinical, laboratory and molecular characteristi...

hrp0098p3-113 | Fat, Metabolism and Obesity | ESPE2024

Infantile Blount’s disease: an unusual presentation of severe early-onset obesity due to LEPR mutation.

Alkaramany Samaa , Abdelmeguid Yasmine , Khater Doaa , El Awwa Ahmed

Background: Leptin, a hormone released from adipose tissue, exerts its influence through the leptin receptor located in the arcuate nucleus of the hypothalamus. Leptin receptor mutation is an extremely rare autosomal recessive monogenic disorder, caused by biallelic pathogenic variants in the LEPR gene. Individuals with leptin receptor deficiency exhibit rapid weight gain, severe early-onset obesity, hyperphagia, hypogonadotrophic hypogonadism, and T-...