Pediatric endocrinology and growth check-up
out-patient
Duration: 2 days
Cost: €1,200
The pediatric endocrinology and growth check-up includes:
- Physical examination
- Family anamnesis for endocrinological system
- Determination of body weight and height
- Radiology: hand X-ray (only children over the age of 6) with final height prognosis (only children over the age of 8)
- Additional endocrine blood tests:
- Examination of thyroid function and for the presence of autoimmune thyroiditis: TSH, fT3, fT4, thyroid antibodies (TPO, TG and TSH receptor)
- Examination of the growth hormone function: growth hormone, IGF-1, IGF-BP3
- Examination of adrenal function and for the presence of Addison's disease: Cortisol, ACTH, DHEAS, adrenal autoantibodies
- Examination for insulin resistance, metabolic syndrome and type 2 diabetes (fasting): blood glucose, insulin, HOMA-IR index, HbA1c, lipids
- Screening for the risk of developing type-1-diabetes: measurement of 5 type-1-diabetes-related autoantibodies (GAD, IA2, IAA, ICA and ZnT8)
- Investigation of the function of the gonads, puberty development and reproductive function: LH, FSH, testosterone, estradiol, prolactin, AMH, inhibin B
Additional endocrinological examinations (if indicated and subject to extra charges):
- Uterus and ovary ultrasound (in girls)
- Testicular ultrasound (in boys)
- Thyroid ultrasound
- Ultrasound of adrenal glands
- Karyogram (e.g. girls with short stature to exclude Turner’s syndrome)
Please note: The screening cost is a preliminary estimate. If any of the initially included services are not needed, the corresponding amount will be refunded after the final recalculation.