hrp0092mte8 | Management of Neonatal Hypoglycaemia | ESPE2019

Management of Neonatal Hypoglycaemia

Mohnike Klaus

Transition from intrauterine to extrauterine life is a vulnarable time and needs special attention by health professionals. Although only a small group of infants are at-risk for transitory, recurrent or permanent hypoglycemia prompt diagnosis and effective treatment had to avoid permanent brain injury. Neonatologists are aware of hypoglycemia in premature as well as in small for gestational age infants, however lower limits of blood glucose are often debated with endocrinolog...

hrp0092hdi1.1 | How Do I Session 1 | ESPE2019

Management of Subclinical Hypothyroidism

Salerno Mariacarolina

Subclinical hypothyroidism (SH) is a biochemical condition defined by increased TSH serum concentration above the upper limit of the reference range associated with normal concentrations of T4 and Free T4. Depending on the degree of TSH elevation SH can be defined mild for TSH values between 4.5-10 mIU/l and severe for TSH levels >10 mIU/l.The major cause of SH is chronic autoimmune thyroiditis, other causes are persistent neonatal hyperthyrotropinem...

hrp0092hdi1.2 | How Do I Session 1 | ESPE2019

Abstract Unavailable....

hrp0092hdi1.3 | How Do I Session 1 | ESPE2019

Management of Insulin Resistance in Children

Chiarelli Francesco

Nowadays, after decades of continuously rising rates of paediatric obesity across the world, insulin resistance (IR) in children and adolescents has become a prominent health issue.Obesity is recognised to be the most prevalent pathological cause of IR. However, corticosteroids or growth hormone therapy, genetic diseases and physiological conditions, such as puberty and pregnancy, may affect insulin sensitivity (IS) lifelong.Early ...

hrp0092hdi2.1 | How Do I Session 2 | ESPE2019

How do I…. Manage Micropenis in a Child

Bertelloni Silvano , Tyutyusheva Nina

Micropenis is defined as a penile length less than 2.5 SD below the mean value for a given age (eg, <2.5 cm at term). Nowadays, it should be also diagnosed in utero by sonography. The incidence of micropenis has been reported as 1.5/10.000 male infants in Usa, 5/1.442 in France and 18/2710 in Brazil, suggesting geographical differences or different assessment. Micropenis represents a clinical sign, that may be part of various clinical conditions, such as hypogonad...

hrp0092hdi2.2 | How Do I Session 2 | ESPE2019

How Do I Diagnose Growth Hormone Insensitivity

Walenkamp Marie-Jose

Classical growth hormone insensitivity (GHI) is caused by a defect of the growth hormone receptor and is characterized by severe postnatal growth failure, craniofacial disproportion, IGF-I deficiency and normal or elevated levels of growth hormone. This is a rare condition. With the development of new genetic techniques during the last two decades other monogenetic defects resulting in milder forms of GHI have been identified. These include genes involved in the GH-IGF-I axis:...

hrp0092hdi2.3 | How Do I Session 2 | ESPE2019

Management of an Asymptomatic Child with T1D and Transglutaminase Positivity

Frohlich-Reiterer Elke

The association between type 1 diabetes (T1D) and other autoimmune diseases is well known.The prevalence of celiac disease (CD) ranges from 1% to 10% among children and adolescents with T1D.The risk of associated CD is inversely and independently associated with age at diagnosis, with the greatest risk in those diagnosed with T1D before the age of 5 years. Classical symptoms of CD as poor growth, weight loss, gastrointestin...

hrp0092na2 | Genomic Imprinting Analysis in Clinical Practice | ESPE2019

Genomic Imprinting Analysis in Clinical Practice

Mackay Deborah

Genomic imprints in humans are epigenetic marks inscribed upon our genomes from the earliest stages of our development, forming a permanent memory of our parental origin. Approximately 1% of human genes are imprinted, with expression that is permanently restricted to either the paternal or the maternal DNA. Genetic or epigenetic errors of imprinting cause a range of imprinting disorders, each with distinctive effects upon growth, development, metabolism and behaviour.<...