title: Poor head growth as a presenting sign of a cortisol-secreting adrenal adenoma in a 2-year-old boy.
abstract: Typical signs of glucocorticoid excess in children are weight gain and poor linear growth. We describe a 2-year-old boy with a cortisol-secreting adenoma who presented with a dramatic decline in head growth. This case underscores concern of adverse effects of excess glucocorticoid on brain growth in very young children.
authors.affiliation: University of South Florida Diabetes Center, Department of Pediatrics, University of South Florida Morsani College of Medicine, Tampa, FL.
authors.forename: Sonia
authors.initials: S
authors.lastname: Farooqi
authors.affiliation: University of South Florida Diabetes Center, Department of Pediatrics, University of South Florida Morsani College of Medicine, Tampa, FL.
authors.forename: Sruthi
authors.initials: S
authors.lastname: Sarangarajan
authors.affiliation: University of South Florida Diabetes Center, Department of Pediatrics, University of South Florida Morsani College of Medicine, Tampa, FL. Electronic address: dshulman@health.usf.edu.
authors.forename: Dorothy I
authors.initials: DI
authors.lastname: Shulman
mesh_terms: D000236:Adenoma / Q000097:blood / Q000175:diagnosis*; D000310:Adrenal Gland Neoplasms / Q000097:blood / Q000175:diagnosis*; D002508:Cephalometry; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006257:Head / Q000254:growth & development*; D006801:Humans; D006854:Hydrocortisone / Q000097:blood / Q000378:metabolism*; D008297:Male
chemical_list: D006854:Hydrocortisone