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Vol. 5 - Num. 20

Clinical Reviews

Adolescent and his/her body image. Hidden factors of confusion in diagnosis

Mª Isabel Úbeda Sansanoa, E Rico Marí, R Martínez Garcíac, AM Gandía Giménez, FJ Chorro Gascó, Javier Díez Domingod

aPediatra. CS de L’Eliana. Valencia. España.

cUrólogo. Unidad de Incontinencia Urinaria y Urología Funcional. Servicio de Urología. Hospital Clínico Universitario de Valencia. Valencia. España.
dDepartamento de Investigación de Vacunas. Universitat de València. Valencia. España.

Correspondence: MI Úbeda. E-mail:

Reference of this article: Úbeda Sansano MI, Rico Marí E, Martínez García R, Gandía Giménez AM, Chorro Gascó FJ, Díez Domingo J. Adolescent and his/her body image. Hidden factors of confusion in diagnosis. Rev Pediatr Aten Primaria. 2003;5:583-587.

Published in Internet: 31-12-2003 - Visits: 8209


Adolescents? worries due to their body image can occasionally drive them to adopt extreme attitudes (diet, exercise, etc.). When the teenagers try to hide these attitudes diagnoses can be very difficult. A Sixteen-year-old adolescent suffered a syncope while he was running. His physical examination showed obesity and hypertension. His blood tests showed increased total creatine kinase and its MB isoenzyme. Further tests ruled out renal and cardiac illness. In following interviews the patient expressed his worry for his physical appearance and that the exercise he did to loose weight was far beyond the healthy limits. An efficient communication during medical interview with the adolescent was the key to get the previous hidden information. We finally proved that the increased creatine kinase clearly correlated with heavy exercise and hypertension with obesity.


Adolescent Body image Creatine kinase Diagnosis Exercise Syncope

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