hrp0082p3-d3-805 | Gonads and Gynaecology | ESPE2014

The Genotypic and Phenotypic Variability of Mixed Gonadal Dysgenesis

Grimbly Chelsey , Couch Robert , Girgis Rose

Background: Mixed gonadal dysgenesis is most commonly associated with 45,XO/46,XY karyotype.Objective and hypotheses: We report three cases that illustrate the genotype and phenotype variability of mixed gonadal dysgenesis.Methods: Data was extracted from Pediatric Endocrinology charts in a tertiary care centre after consenting the parents.Results: i) A 13 year old patient, 45,XO/46,X, isodicentric Y chromoso...

hrp0092p1-427 | Thyroid (2) | ESPE2019

Acquired Hypothyroidism in a Toddler: An Unusual Presentation of Langerhans Cell Histiocytosis

Waldner Richelle , Rosolowsky Elizabeth , Girgis Safwat , Girgis Rose

Introduction: A 23-month-old male was admitted for evaluation of an enlarging neck mass, persistent rash, and periorbital edema.Case Description: The toddler had a strikingly large neck mass which had rapidly progressed over 1 month. He presented with a pustular and petechial rash primarily on his scalp which had been unresponsive to multiple treatment modalities. Initial work-up for his neck mass revealed a TSH of 19.7m...

hrp0092p2-34 | Bone, Growth Plate and Mineral Metabolism | ESPE2019

Chronic Bone Disease in Pediatric Sickle Cell Disease Including a Case of Successful Bisphosphonate Therapy

Grimbly Chelsey , Girgis Rose , Jaremko Jacob L , Bruce Aisha

Background: Avascular necrosis (AVN) is common in Sickle Cell Disease (SCD), frequently involving the femoral and humeral head and less commonly involving the spine. AVN leads to joint collapse, chronic pain and disability, and often requires joint replacement in early adulthood. There are no medical therapies for AVN in SCD despite the high burden of disease and there are no published reports of bisphosphonate therapy in this condition....