Scientific Programme & Abstracts from the International Meeting in Pediatric Endocrinology (IMPE)

impe0096fc4.3 | Growth and Syndromes | IMPE2023

Diagnostic yield of a multigene approach in children with short stature of unknown cause: It is time to remove the term idiopathic!

Andrade Nathalia , Funari Mariana , Malaquias Alexsandra , Dantas Naiara , Rezende Raissa , Cellin Laurana , Homma Thais , Lucheze Bruna , Lerario Antonio , Arnhold Ivo , Vasques Gabriela , Jorge Alexander

Introduction: The genetic factors are frequently implicated in the growth impairment of short stature (SS) children, whether they are syndromic or apparently healthy. However, the investigation recommended by the consensus fails to establish the etiology in most cases. The difficulty to search for candidate genes increases the importance of using a hypothesis-free approach as whole exome sequencing (WES) for these children. Objective: To determine the diagnost...

impe0096p98 | Growth and Syndromes | IMPE2023

Girls with short statute and Xp22;Yq11 translocation: should a prophylactic gonadectomy be recommended?

C.B. Dantas Naiara , F.A. Funari Mariana , L.M. Andrade Nathalia , C. Rezende Raíssa , P. Cellin Laurana , G. Crisostomo Lindiane , C. Scalco Renata , A.L. Jorge Alexander

Background: Translocations involving the X and Y chromosome are rare in humans. Here we describe two cases diagnosed during the investigation of short stature. Case 1: She was born at 38 gestational weeks (GW), with birth weight (BW) SDS -1.5 and birth length (BL) SDS -2.7. At the first assessment, she had a chronological age (CA) of 11.3ys, a height SDS of -2.2, a sitting height-to-height SDS of 4.6, and Madelung´s deformity. The height SDS of her mothe...

impe0096fc15.2 | Puberty and Pituitary | IMPE2023

Several new candidate genes for self-limited delayed puberty revealed by whole exome sequencing

Rezende Raissa , Schafer Evan , Kaisinger Lena , Dantas Naiara , Andrade Nathalia , Cellin Laurana , Quedas Elisangela , He Wen , Perry John , Claudia Latronico Xavier Ana , Howard Sasha , Chan Yee-Ming , Jorge Alexander

Introduction: Self-limited delayed puberty is defined as the absence of pubertal signs by 13 years in girls and 14 years in boys, but with normal pubertal development starting before 18 years of age. This condition is known for its strong heritability. This study aimed to identify new candidate genes for pubertal delay.Methods: Fifty-six patients with confirmed self-limited delayed puberty after retrospective evaluation ...

impe0096p101 | Growth and Syndromes | IMPE2023

A prospective genetic analysis of children with idiopathic short stature (ISS) using whole-exome sequencing (WES): first results

P Cellin Laurana , L M Andrade Nathalia , C Rezende Raissa , de Souza Vinícius , C B Dantas Naiara , P S Quedas Elisangela , F A Funari Mariana , A Vasques Gabriela , C Scalco Renata , A C Malaquias Alexsandra , A L Jorge Alexander

Introduction: Children classified as idiopathic short stature (ISS) may have a monogenic cause that can explain their growth disorder. In this context, genetic tests emerge as a new diagnostic tool. Objectives: To determine the usefulness of WES for the genetic investigation of children with ISS.Patients and Methods: We sequentially enrolled 95 children with ISS without previous genetic testing, except for karyotyping fo...