[Medical program of the Memorial Hospital of the Child Health Center].
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Biomedical subjects
Publications and source records attributed to M Goncerzewicz.
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Malnutrition may cause to the damage intestinal epithelium and pancreas resulting in overt signs of malabsorption syndrome. The diet protein, fats and carbohydrates stimulate secretion, CCK-P, GIP, and gastrin release and effect insulin and HGH release. The amounts of the hormones released depends on intestinal absorption and pancreas secretory function. Therefore, in undernourished children with malabsorption syndrome on impaired function of the hormonal entero-insular axis is likely. In 30 children hormonal component of malnutrition was studied. Digestion and absorption were assayed by glycemic levels and FFA, with hydroxyprolinuria studies following administration of the mixed test meal. HGH and IRI levels were measured following mixed test meal stimulation. Hormonal studies data were correlated with digestion and absorption indices. In undernourished children low levels of HGH and IRI were frequently found. In certain patients with malnutrition the administration of anabolic drugs seems to be advisable.
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Investigations were carried out on boys aged between 8 and 20 years by positive chromatin test. Klinefelter's syndrome was confirmed by karyotype determination in 13 cases. In comparison with the average Polish population the patients' parents were older. The patients were usually the last children to be born in their families. Typical hypogonadism, cryptorchism, especially unilateral, and delay in the development of secondary sex characteristics were observed. Besides typical eunuchoid habitus, endomorphic type of body build, tendency towards obesity or sometimes even delay in growth and a deficiency in body weight were noticed. True gynaecomastia was only present in 1/4 of these patients. Very frequent features of Klinefelter's syndrome are--in the authors' opinion--mental subnormality, inadequate social adaptation and neurotic symptoms. Before adolescence the characteristic phenotype of Klinefelter's syndrome is absent. These results indicate that sex chromatin examination is a general screening test to determine Klinefelter's syndrome in boys.
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