Pattern of presentation of paediatric endocrine disorders in a Nigerian tertiary institution: an 11-year survey

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.
Abstract

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