ESPE Abstracts

Background: Recent studies suggest patients with congenital adrenal hyperplasia (CAH) have adverse cardiovascular risk profile and other long-term health problems in adult life. However, there are limited data of these comorbidities in paediatric CAH patients.Objective and hypotheses: To evaluate the cardio-metabolic risk factors in children and adolescents with classical 21-hydroxylase deficiency (21-OHD) compared with age, sex and puberty-matched healt...

Background: Subjects with impaired glucose tolerance (IGT) are at risk for type 2 diabetes mellitus (T2DM) and cardiovascular disease. The predictors of IGT in obese youth are not well described.Objective and hypotheses: We aim to evaluate insulin dynamics and biochemical markers for predicting IGT in Thai obese youth.Method: We studied 115 obese Thai children who underwent an oral glucose tolerance test (OGTT). Plasma glucose and ...

Objectives: This report presents the unusual case of an 8-year-old boy with tumor-induced osteomalacia (TIO) characterized by suppressed FGF-23 levels.Case Presentation: An 8-year-old boy presented with a six-month history of left knee pain, exacerbated by walking. Physical examination revealed genu valgus without signs of inflammation. X-rays indicated rickets, prompting a referral to a pediatric endocrinology clinic. L...

Background: Poor glycemic control in type 1 diabetes (T1D) is linked to cardiovascular complications. Sleep duration and quality have been shown to be related to glycemic control, glucose variability, and endothelial dysfunction in adults with T1D. This study aimed to evaluate the relationship between sleep characteristics, glycemic control, glucose patterns, and endothelial function in adolescents and young adults with T1D.Metho...

Background: Primary adrenal insufficiency (PAI) is a rare but life-threatening condition. Its diagnosis is frequently delayed due to its nonspecific and diverse symptoms. The etiology of PAI is heterogeneous and varies among populations.Objective: The objective of this study was to characterize the clinical and hormonal phenotypes of Thai children with PAI and to determine the underlying genetic defects.<p class="abs...