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Previous Volume 355:1593-1602 October 12, 2006 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 15 1/2-year-old girl was seen in the outpatient Weight Center of this hospital for the evaluation of severe obesity. She had had a normal gestation without complications and had been adopted during the first month of life. She weighed 3.9 kg at birth and 4.8 kg at 1 month of age. At the age of 1 year, her weight-to-length ratio was in the 75th percentile. At 3 years of age, her body-mass index (BMI, the weight in kilograms divided by the square of the height in meters) was above the 97th percentile. She was referred to a nutritionist. Her . . . [Full Text of this Article]

Differential Diagnosis

Obstructive Sleep Apnea

            Sequelae

            Treatment

Insulin Resistance and Type 2 Diabetes Mellitus

Hypertension and Dyslipidemia

Polycystic Ovary Syndrome

Nonalcoholic Fatty Liver Disease

Causes of Obesity

Discussion of Management

Weight-Loss Strategies

Bariatric Surgery

Anatomical Diagnosis

Source Information

From the Department of Pediatrics (A.G.H., E.S.K.), the Gastrointestinal Unit (L.M.K.), and the Department of Pathology (G.Y.L.), Massachusetts General Hospital; and the Departments of Pediatrics (A.G.H., E.S.K.), Medicine (L.M.K.), and Pathology (G.Y.L.), Harvard Medical School.

Related Letters:

Case 31-2006: A Girl with Severe Obesity
Titomanlio L., Verloes A., Mercier J.-C., Schlegel A., Polotsky A. J., Rieder J., Santoro N., Hoppin A. G., Kaplan L. M.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:194-196, Jan 11, 2007. Correspondence

This article has been cited by other articles:

• Titomanlio, L., Verloes, A., Mercier, J.-C., Schlegel, A., Polotsky, A. J., Rieder, J., Santoro, N., Hoppin, A. G., Kaplan, L. M. (2007). Case 31-2006: A Girl with Severe Obesity. NEJM 356: 194-196 [Full Text]