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Revista Española Endocrinología Pediátrica Rev Esp Endocrinol Pediatr 2010; 1 (Suppl) // doi: 10.3266/Pulso.ed.RevEspEP2010.vol1.SupplCongSEEP SOCIEDAD ESPAÑOLA DE ENDOCRINOLOGÍA PEDIÁTRICA XXXII Congreso de Murcia, 5-7 de Mayo de 2010 la Sociedad Española de Endocrinología Pediátrica Murcia, 5-7 de Mayo de 2010 Ponencias y Resúmenes de Comunicaciones Proceedings of the Spanish Pediatric Endocrinology Congress 2010 ®Publicación de la Sociedad Española de Endocrinología Pediátrica www.seep.es/revista PUBLICACIÓN DE LA SOCIEDAD ESPAÑOLA DE ENDOCRINOLOGÍA PEDIÁTRICA REVISTA ESPAÑOLA REVISTA MIEMBRO DE LA ASOCIACIÓN ESPAÑOLA DE PEDIATRÍA (A.E.P.) JUNTA DIRECTIVA DE LA SEEP Presidente Vocales Juan Pedro López Siguero Beatriz García Cuartero Sofía Quienteiro González Secretaría general Rafael Ruiz Cano Lidia Castro Feijó Tesorero Luis Fernando López-Canti Morales XXXII CONGRESO DE LA SOCIEDAD ESPAÑOLA DE ENDOCRINOLOGÍA PEDIÁTRICA COMITÉ ORGANIZADOR COMITÉ CIENTÍFICO Presidente Presidente Antonio Gutiérrez Macías Juan Pedro López Siguero Secretaría general Vocales Arantxa Escribano Muñoz Lidia Castro Feijóo Luis F. López-Canti Morales Vocales Rafael Ruiz Cano José María Martos Tello Beatriz García Cuartero José María Donate Legaz Sofía Quinteiro González María José Romero Egea Antonio Gutiérrez Macías Isabel María Valcárcel Díaz Lola Rosique Conesa • Depósito legal: B-14610-2010 Impreso en España. Revista Española • ISSN: 2013-7788 Esta publicación se imprime en papel Endocrinología Pediátrica. • Publicación autorizada como soporte no ácido, norma ISO 9706. válido: 0336E/8590/2010 Secretaría editorial Texto íntegro de [email protected] acceso libre en: Normas de publicación: www.seep.es www.seep.es/revista © Copyright 2010 SEEP Rambla del Celler, 117-119 Reservados todos los derechos mun- 08172 Sant Cugat del Vallès · Barcelona diales. No puede reproducirse, almace- Telf.: +34 935 896 264 narse en un sistema de recuperación o Fax: +34 935 895 077 transmitirse en forma alguna por medio Calle Cronos, 24 - bloque 1, bajo E14 de cualquier procedimiento, sea éste 28042 Madrid mecánico, electrónico, de fotocopia, Telf.: +34 913 205 827 grabación o cualquier otro, sin el previo Fax: +34 917 418 122 permiso escrito del editor. © 2010 Sociedad Española de Endocrinología Pediátrica. Publicado por Pulso ediciones, S.L. Todos los derechos reservados. sumario XXXII Congreso de la Sociedad Española de Proceedings of Spanish Pediatric Endocrinology Congress 2010 Revista Española de Endocrinología Pediátrica Endocrinología doi: 10.3266/Pulso.ed.RevEspEP2010.vol1.SupplCongSEEP Volumen 1 Suplemento Congreso SEEP Pediátrica Mayo 2010 Murcia Murcia, 5-7 de Mayo de 2010 CONFERENCIAS Conflictos ético-legales en endocrinología pediátrica.......................................................................7 Aurelio Luna Maldonado Pediatric assessment of skeletal growth...........................................................................................11 Vicente Gilsanz MESA REDONDA. ENFERMEDADES SUPRARRENALES POCO FRECUENTES Insuficiencia suprarrenal de origen genético...................................................................................19 Begoña Ezquieta Zubicaray Mineralocorticoid disorders..............................................................................................................33 Felix G. Riepe MESA REDONDA. PATOLOGÍA HIPOTÁLAMO-HIPOFISARIA Hormona del crecimiento. Dudas razonables después de más de tres décadas de experiencia..................................................................................................................................41 M. Pombo, L. Castro-Feijóo Patología del metabolismo del agua asociada a enfermedad hipofisaria........................................48 Luis Castaño, Begoña Calvo, Amaia Vela Patología del tallo. Tumores adenohipofisarios.................................................................................56 R. Gracia Bouthelier, AC. Barreda Bonis REUNIÓN CON EL EXPERTO Uso de estatinas en pediatría: fármacos en hiperlipemias..............................................................67 Jaime Dalmau Serra Síndrome de Prader-Willi..................................................................................................................71 Rafael Yturriaga Actualización en el tratamiento y seguimiento del síndrome de Turner...........................................74 José I. Labarta, Antonio de Arriba, Esteban Mayayo, Ángel Ferrández-Longás Actitud ante una hipercalcemia........................................................................................................81 M. Gussinyé, D. Yeste, M. Clemente, MA. Albisu, A. Carrascosa COMUNICACIONES Comunicaciones orales....................................................................................................................87 Pósters............................................................................................................................................109 ÍNDICE AUTORES........................................................................................................................................187 Índice XXXII Congreso de la Sociedad Española de Proceedings of Spanish Pediatric Endocrinology Congress 2010 Revista Española de Endocrinología Pediátrica Endocrinología doi: 10.3266/Pulso.ed.RevEspEP2010.vol1.SupplCongSEEP Volumen 1 Suplemento Congreso SEEP Pediátrica Mayo 2010 Murcia Murcia, 5-7 de Mayo de 2010 Pág. Sesión Fecha Nº Sesión Conferencia 7 Inaugural 5-mayo-10 1 Ausente Inicio 6-mayo-10 2 11 Clausura 7-mayo-10 3 Mesa Redonda. Enfermedades suprarrenales poco frecuentes 19 Insuficiencia suprarrenal de origen genético 6-mayo-10 1 33 Mineralocorticoid disorders 6-mayo-10 1 Ausente Enfermedad de Cushing 6-mayo-10 1 Mesa Redonda. Patología hipotálamo-hipofisaria 41 Hormona del crecimiento. Dudas razonables después de más de tres 7-mayo-10 2 décadas de experiencia 48 Patología del metabolismo del agua asociada a enfermedad hipofisaria 7-mayo-10 2 56 Patología del tallo. Tumores adenohipofisarios 7-mayo-10 2 Reunión con el Experto 67 Uso de estatinas en pediatría 6-mayo-10 1 71 Síndrome de Prader-Willi 6-mayo-10 2 74 Actualización en el tratamiento y seguimiento del síndrome de Turner 7-mayo-10 3 81 Actitud ante una hipercalcemia 7-mayo-10 4 Nº Orden Comunicaciones Orales 87 Premios 6-mayo-10 1 1-2 88 Crecimiento 1 3-6 92 Miscelánea 1 1 7-8 93 Tiroides 6-mayo-10 2 9-11 95 Diabetes 2 12-15 98 Metabolismo 1 2 16 98 Metabolismo 2 7-mayo-10 3 17-24 103-105 Metabolismo 3 7-mayo-10 4 25, 28 104 Suprarrenales 4 26-27 106 Gónadas 4 29-30 107 Miscelánea 2 4 31-32 Pósters 109 Premios (lectura) 6-mayo-10 1 1-8 114 Tiroides 6-mayo-10 2 9-24 122 Gónadas 2 25-38 130 Suprarrenales 2 39-47 136 Miscelánea 1 2 48-71 150 Miscelánea 2 7-mayo-10 2 72 150 Crecimiento 2 73-85 158 Metabolismo 2 86-103 168 Diabetes 2 104-132 Rev Esp Endocrinol Pediatr 2010; 1 (Suppl) CONFERENCIAS doi: 10.3266/Pulso.ed.RevEspEP2010.vol1.SupplCongSEEP Conflictos ético-legales en endocrinología pediátrica Aurelio Luna Maldonado Cátedra de Medicina Legal, Universidad de Murcia La progresiva conflictividad de la actividad sanita- incertidumbre en una decisión clínica, sino de es- ria es un hecho objetivo que genera una respuesta tructurar un sistema de análisis en la búsqueda de muy variable por parte de los profesionales sani- soluciones. tarios, la ausencia de criterios bien definidos y el miedo a las reclamaciones ha generado un entorno Cuando tratamos con el menor, y o sus tutores, so- asistencial donde la toma de decisiones se realiza bre las posibles alternativas de tratamiento, tam- bajo la sombra de la precaución. La existencia o bién realizamos una gestión de la incertidumbre, no de conflictos en la toma de decisiones clínicas en la medida que compartimos con ellos las zonas está en una estrecha relación con las situaciones de indefinición y dejamos que ellos decidan sobre donde existen distintas opciones terapéuticas, o las diferentes opciones en una situación de vulne- cuando el resultado de una decisión concreta su- rabilidad emocional. Cuanto mayor es la trascen- ponga un riesgo objetivo para la salud del menor. dencia de la elección terapéutica mayor es el im- Cuando las opciones son muy claras o solo existe pacto emocional. No resulta fácil transmitir dudas, una posibilidad razonable de decisión, el conflicto ni mucho menos compartirlas, pero es fundamental desaparece. que el profesional sanitario aprenda a gestionar la información en situaciones donde precisar las limi- Las fuentes de incertidumbre en la clínica son muy taciones del conocimiento científico al paciente o variadas y están en relación, entre otros muchos sus padres, no debe suponer incrementar la falta factores, con: de confianza sino simplemente establecer el marco real de decisión, donde los riesgos deben compar- a) La ausencia de criterios científicos claros e tirse en función de las responsabilidades que las incontestables. partes tienen que asumir. No conviene olvidar que la madurez emocional es uno de los componentes b) La posibilidad de más de una interpretación básicos para limitar el impacto de la incertidumbre sobre la respuesta adecuada a la luz de va- en una decisión terapéutica. La judicialización pro- lores contrapuestos. gresiva de los problemas clínicos ha provocado en la práctica que los profesionales sanitarios intenten c) El equilibrio entre las diferentes opciones te- que las decisiones sean tomadas por los órganos rapéuticas. judiciales. Ante una situación de conflicto se infor- ma al juez para que este decida, sin embargo en d) Etc. muchos casos el juez
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