Pediatric Endocrinology and Pediatric Rheumatology

Placental hormones include human chorionic gonadotropin (HCG), progesterone, estrogen, and human placental lactogen (hPL). Placental hormones such as HCG help in maintaining the corpus luteum during the early stages of pregnancy. Progesterone is a hormone produced by the ovaries and later, if pregnancy occurs. In the second half of the menstrual cycle after ovulation, progesterone prepares the uterine lining (endometrium) to receive the fertilized egg. Human placental lactogen modifies the metabolic state of the mother during pregnancy to facilitate the energy supply of the fetus. Patients with childhood or adult-onset GH deficiency (GHD) have reduced left ventricular mass (LVM) and ejection fraction (EF).Hormonal imbalance/balance is also involved in sexual development, pediatric obesity, metabolic activity etc. Thyroid is a common problem that causes over or under function of the thyroid gland. Hyperthyroidism describes excessive production of thyroid hormone. Non - inflammatory joint pains (osteoarthritis) is a type of joint disease that results from breakdown of joint cartilage and underlying bone. Chronic recurring multifocal osteomyelitis / Chronic Recurrent Multifocal Osteomyelitis, is a rare condition in which the bones have lesions, inflammation, and pain. Juvenile Idiopathic Arthritis is the most common type of arthritis in children under the age of 16.It can cause persistent joint pain, swelling and stiffness, growth problems, joint damage and eye inflammation.

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