A 13-year- 9 months old male presented with overweight. His weight at presentation was 65 kg Height is 152 cm. Non Consanguineous marriage FT, AGA(3.7KG)LSCS to G1P1A0. IDM baby with a good APGAR score. Normal development history, normal IQ, No dysmorphic feature. He was formula feed (Paedia Sure ) for all most 2 yrs.
In his initial childhood days he was slim, started to gain weight after 7 yrs of age. This patient is steadily increasing his weight- has developed profound B/L gynaecomastia and fat deposition on his tummy, his voice is not yet changed and has a normal penis but little smaller in size but testis are of normal volume. Fathers height 158cm, mother's height is 155cms, parents attended puberty normally. CNS and Fundus exam normal No crossing of percentiles. Baseline all routine investigations done are as follows: Insulin did On 15.01.2018, which was 85 increased (normally…
