OBJECTIVE: Adolescence is a unique phase needing special medical attention since puberty happens during this period. There are no data on adolescent endocrinology diseases in Indonesia. This study aimed to describe the five most common diseases among adolescents aged 10-19 years who presented to the outpatient pediatric endocrinology clinic in Cipto Mangunkusumo Hospital in 2018.
METHOD: Secondary data from the Cipto Mangunkusumo Hospital Pediatric Endocrinology Outpatient Clinic Registry were obtained. The five most common diagnosis in patients aged 10-19 years old were acquired, characteristics of patients were descriptively analyzed.
RESULTS: The five most common diseases in adolescents were short stature, type 1 diabetes mellitus, Grave’s disease, delayed puberty, and micropenis. Out of 186 patients with short stature diagnosis, 98 were adolescents, which were 40 male, and 58 female. Type 1 diabetes mellitus occurred mostly in adolescents (62/80) with 28 male and 34 female patients. The majority of Grave’s disease patients were also adolescents (43/45) and female (34/43). Total patients of delayed puberty were 32 patients, with female to male ratio approximately 2:1. From a total of 105 patients with micropenis, 30 patients were aged 10-19 years.
CONCLUSION: Adolescents have different endocrinology diseases characteristics compared to children. Endocrine problems should be considered in adolescents with symptoms, obesity, and abnormal growth and puberty. Assessment of puberty should be performed routinely. The awareness of the non-communicable disease emergence in adolescents must be increased in order to provide adequate health care especially in promotion and prevention. It is hoped that endocrine diseases among adolescents in Indonesia will get special attention and can be registered as well.