Pattern of presentation of paediatric endocrine disorders in a Nigerian tertiary institution: an 11-year survey
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Published on: January 17, 2018
Ugo N Chikani1, Ijeoma O Ohuche1,2, Chinedu M Dike3
1Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Insights
Paediatric endocrine disorders (PEDs) in sub-Saharan Africa are common, with thyroid disorders, type 1 diabetes mellitus, and obesity being most prevalent. Increased awareness is crucial for timely diagnosis and treatment of these childhood conditions.
Area of Science:
- Endocrinology
- Paediatric Medicine
- Public Health
Background:
- Limited epidemiological data exists for paediatric endocrine disorders (PEDs) in sub-Saharan Africa.
- Childhood endocrine conditions often receive insufficient attention in this region.
- Understanding the prevalence and presentation of PEDs is vital for improving healthcare outcomes.
Purpose of the Study:
- To determine the sociodemographic characteristics of children diagnosed with endocrine disorders.
- To identify the pattern of presentation for various paediatric endocrine disorders.
- To generate essential epidemiological data for sub-Saharan Africa.
Main Methods:
- Retrospective analysis of case notes from a paediatric endocrinology clinic.
- Inclusion of paediatric patients presenting over an 11-year period.
- Data analysis using SPSS version 23.
Main Results:
- 188 paediatric patients were analyzed, with a near equal male:female ratio.
- Thyroid disorders were the most common PEDs, followed by type 1 diabetes mellitus, obesity, and pubertal disorders.
- Congenital hypothyroidism represented 14.3% of all thyroid disorder cases.
Conclusions:
- Thyroid disorders, type 1 diabetes mellitus, and obesity are the leading paediatric endocrine disorders in the study area.
- There is a critical need to enhance awareness among healthcare professionals and the public about these conditions.
- Improved awareness can lead to earlier and more appropriate patient referrals to specialized clinics.
Objectives:
There is need to generate epidemiological data regarding paediatric endocrine disorders (PEDs) in sub-Saharan Africa, since little attention has been given endocrine disorders in children in this sub-region over the years. The aim of the study was to determine the sociodemographic characteristics of children with endocrine disorders in our paediatric endocrinology clinic, as well as the pattern of presentation of these disorders.
Methods:
This study included paediatric patients who presented to the endocrine clinic over an 11-year period. Data of patients seen during the study period were retrieved from the case notes and were analyzed using SPSS version 23.
Results:
A total of 188 patients were seen over the study period, with an almost equal male:female ratio. Five of the patients (2.7%) could not be classified into any gender because of genital ambiguity. The age of the patients at diagnosis ranged from 0 to 18 years of age with a median age of 9.03 (9.94) years. All the 14 subdivisions of paediatric endocrine disorders were documented among the patients, with thyroid disorders ranking highest among the PEDs seen. Type 1 diabetes mellitus, obesity and pubertal disorders were the most prevalent PEDs (in descending order), after thyroid disorders. Congenital hypothyroidism accounted for 14.3% of patients with thyroid disorders.
Conclusions:
Thyroid disorders, type 1 diabetes mellitus and obesity rank highest among the PEDs in our locality. There is the need to create awareness among healthcare workers and the general public regarding these disorders, in order to improve appropriate and timely presentation of patients to the clinic.
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