Behavioral Outbursts in a Child with a Deletion Syndrome, Generalized Epilepsy, Global Developmental Delay, and Failure to Thrive. Pediatr Ann 2018 Mar 01;47(3):e130-e134
Date
03/15/2018Pubmed ID
29538787Pubmed Central ID
PMC7289123DOI
10.3928/19382359-20180223-01Scopus ID
2-s2.0-85044101921 (requires institutional sign-in at Scopus site) 1 CitationAbstract
A 7-year-old girl with 20q13.33 deletion and a history of generalized convulsive epilepsy presented to the Developmental and Behavioral Pediatrics Clinic due to concerns about her behavioral outbursts in the context of overall delayed development. Evaluation by the Developmental and Behavioral and Gastroenterology teams revealed failure to thrive (FTT) as the primary cause of the behavioral outbursts and developed a high-calorie, high-fat, high-protein nutritional counseling plan. Children who have FTT and a genetic disorder are often thought to not thrive because of their underlying genetic disorder; however, feeding skills and nutritional intake need to be thoroughly investigated before determining an etiology for FTT. Motoric, communicative, and developmental skills in children with genetic disorders may impede appropriate feeding mechanisms, inducing or exaggerating FTT in these children with developmental disabilities due to genetic etiologies. [Pediatr Ann. 2018;47(3):e130-e134.].
Author List
Lewis AH, Chugh A, Sobotka SAAuthor
Ankur A. Chugh MD Associate Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildChromosome Deletion
Chromosome Disorders
Chromosomes, Human, Pair 20
Developmental Disabilities
Epilepsy, Generalized
Failure to Thrive
Female
Humans
Malnutrition
Problem Behavior
Syndrome
