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內分泌科

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Disease category Eligibility for referral to the Hong Kong Children's Hospital
Bone
  • Osteogenesis imperfecta
  • Skeletal dysplasia (e.g. achondroplasia, fibrous dysplasia etc.)
  • Metabolic bone diseases
  • Rickets
  • Calcium and phosphate metabolic disorders with potential genetic etiology (e.g. calcium sensor defects, X-linked hypophosphatemic rickets) or requiring surgical intervention (e.g. parathyroid adenoma / hyperplasia)
Diabetes Mellitus
  • Type 1 diabetes
    • Patients on insulin pump
    • Neonatal diabetes and other monogenic diabetes (e.g. DIDMOAD)
    • Patients with co-existing autoimmune diseases (excluding well-controlled thyroid diseases)
    • Patients with diabetic complications (excluding intermittent microalbuminuria)
    • Patients with Type 1 diabetes and eating disorders with unstable diabetic control
    • Poorly controlled diabetes with one of the following:
      • HbA1c ≥ 9.5% for over 1 year
      • Recurrent diabetic ketoacidosis (DKA) (>1 DKA / year in past 2 years)
      • Recurrent severe hypoglycaemic episodes (>1 severe hypoglycaemic episodes / year in past 2 years)
  • Type 2 diabetes
    • Patients with Type 2 DM and ≥ 2 obesity related problems including hypertension, dyslipidaemia, OSAS, PCOS or fatty liver
    • Patients with diabetic complications
    • Poorly controlled diabetes with persistent HbA1c > 8% for over 1 year
    • Patients requiring long term insulin treatment
Disorder of sexual differentiations
  • Ambiguous genitalia
  • Undervirilized male or virilized female
  • Congenital adrenal hyperplasia
Endocrine Oncology
  • Adrenal tumor / cancer
  • Phaeochromocytoma
  • Thyroid cancer
  • Brain tumor with panhypopituitarism / central diabetes insipidus
  • Hormone-secreting tumor e.g. Cushing’s syndrome, acromegaly, prolactinoma
Growth and puberty
  • Growth and pubertal issues suspected to be related to underlying genetic syndrome (e.g. Turner syndrome, Prader-Willi Syndrome, Klinefelter syndrome, Noonan syndrome, Russell Silver syndrome)

Referral Pathway

  • Referrals could be faxed to the specialist outpatient clinic (fax: 3512 7579; tel: 3513 3513)
  • For special conditions or direct communication, please contact the endocrinology team on-call doctor through the hospital operator (tel: 3513 3888)