title: Significant weight loss with cognitive and communication limitations in an adolescent.
abstract: Mark is a 17-year-old adolescent with an unknown dysmorphic syndrome associated with intellectual disability. His food intake was limited for at least 3 months. He refused all foods, while he lost 12 pounds in 9 months. His mother said that he has been in a good mood and performing at his baseline level in school. Mark has a limited expressive verbal capacity; he uses some single words, he can express pain, but he has minimal understanding of conversation. He has an appointment at the primary care pediatric clinic for a weight check.
authors.affiliation: Department of Pediatrics, University of California San Diego, Rady Children's Hospital, San Diego, CA, USA.
authors.forename: Kim
authors.initials: K
authors.lastname: Houkom
authors.forename: Bretten D
authors.initials: BD
authors.lastname: Pickering
authors.forename: Mark
authors.initials: M
authors.lastname: Sawyer
authors.forename: Martin T
authors.initials: MT
authors.lastname: Stein
mesh_terms: D000293:Adolescent; D006801:Humans; D008607:Intellectual Disability / Q000503:physiopathology / Q000523:psychology; D008297:Male; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D015431:Weight Loss