A morbidly obese toddler tips the scales at 3st 11lb (53lb) – making her one of the heaviest girls in the world for her age.
Back in March, 18-month-old Aliya Saleem weighed 2st 13lb (41lb), and her incredible size garnered her worldwide attention.
Her mother Shabnam Parveen and father Mohammad Saleem were left baffled by what was causing their daughter’s insatiable appetite.
But since then a paediatrician at the Orchid Medical Centre in the Indian district of Ranchi, has had a number of theories of what could be causing Aliya’s size.
Dr Bhavya Kuma believes she could be suffering from Prader-Willi syndrome – a rare disorder characterised by learning difficulties, growth abnormalities and obsessive eating.
Speaking about what could be causing Aliya’s weight gain, he said: ‘There could be some hormonal imbalance, there could be some metabolic disease. There can be some genetic causes.
‘It could be because of some tumour. But because there is a history of sibling loss with similar complaints, that points towards a genetic cause.
‘So, I strongly suspect that this could be a case of some genetic disorder, most probably Prader-Willi syndrome, which is a very rare disorder.’
The 18-month-old lives with her family in a remote Indian village in the state of Jharkhand.
She weighed roughly 9lb at birth, but started ballooning in size three months later.
Shabnam and Mohammad find her condition especially painful after another one of their daughters died in similar circumstances.
Shabnam recounts how her daughter was eating her lunch when she suddenly collapsed with a brain haemorrhage.
‘Simran too suffered from weight issues and ate excessively, just like Aliya,’ says Shabnam.
According to Shabnam, Aliya requires three times the amount of food of a normal child her age.
Her parents have told how they have to feed their daughter constantly – as otherwise she breaks down in tears and throws temper tantrums.
Mohammad works as a tailor and brings in roughly £2 a day – with a huge portion of his wages going towards the feeding costs of his daughter.
Shabnam and Mohammad have a 5-year-old son called Ali who is a regular weight.
‘We spend all our money to feed Aliya,’ says Shabnam. ‘If we do not give her something to eat, she cries endlessly and gets cranky.
‘Her constant hunger leads to excessive weight gain due to which we have to buy new sets of clothes every two weeks that take a toll on our limited expenses.’