Childhood Diseases

Posted by: Racoon | 2010-11-14


Concerned about 20 month old

Dear Doc

We are concerned about our son who is now 21 months old. He has a large potbelly, but his ribs are showing from the back. He is also barrelchested. He remains on the 20th percentile for his height and age, although he is pf average height. We also note that his testicles are cannot be felt for most of the time (it was normal earlier on) and his penis is very small and seems not to be developing, even compared with his 2 month old brother. There is also some very fine hairgrowth on his pubic area. His 5 year old brother had much bigger penis than he has. He is also slower in talking that his older brother was, but I guess that could just be individual variation. He also is very ''cute/cherubic'' in appearance with very large eyes and hair that stand up straight. Does this sound at all of concern to you?

Expert's Reply



You have described your son's features very well indeed. To be honest, I am also concerned about him as I know you are as well. He may have an endocrine condition such as congenital adrenal hyperplasia or a condition called congenital hypopituitarism.I am obviously only putting these conditions forward as possible reasons for his features and symptoms and he will require special tests to find out if he does indeed have a problem or not. I recommend that you take him to be seen by a paediatric endocrinologist as soon as possible.Please let me know what happens.

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