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Previous Volume 356:194-196 January 11, 2007 Number 2 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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To the Editor: The Case Record discussed by Hoppin et al. (Oct. 12 issue),¹ which describes the condition of a severely obese 15-year-old girl, concludes with a diagnosis of "severe childhood obesity with obstructive sleep apnea, hypertension, impaired glucose tolerance progressing to type 2 diabetes mellitus, the polycystic ovary syndrome, and nonalcoholic steatohepatitis." However, this case seems to present an unsolved medical problem. A number of the clinical signs may have been the consequence of an unexplained metabolic syndrome, probably related to the severe obesity. Why was this child so severely obese by the age of 3 years that she . . . [Full Text of this Article]

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