Document Detail


Are factors at diagnosis of growth hormone deficiency in childhood associated with persistence of growth hormone deficiency into adult life?
MedLine Citation:
PMID:  16355807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A proportion of children with growth hormone deficiency (GHD) have persistence of GHD as young adults. To date, no markers have been shown in childhood to have predictive value in determining persistence of GHD into adult life. We examined the hypothesis in 31 patients that variables present at the time of diagnosis of childhood-onset GHD, or those related to the early response to growth hormone (GH) therapy, are associated with the likelihood of persistence of GHD. The results show that, as previously demonstrated, children with GHD are more likely to have persistent severe GHD in adult life when the diagnosis is associated with other pituitary hormone deficiencies (p = 0.02), abnormal pituitary neuroimaging (p = 0.003), induced puberty (p = 0.001), early age of diagnosis (p = 0.03) and lower peak GH response at the first dynamic GH test in childhood (p = 0.02). However, there are no associations of persistent severe GHD with the pattern of pretreatment growth or growth response to GH treatment in the initial phase.
Authors:
I Banerjee; A Tudorancea; M F Scanlon; J W Gregory
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of pediatric endocrinology & metabolism : JPEM     Volume:  18     ISSN:  0334-018X     ISO Abbreviation:  J. Pediatr. Endocrinol. Metab.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-12-16     Completed Date:  2006-01-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9508900     Medline TA:  J Pediatr Endocrinol Metab     Country:  England    
Other Details:
Languages:  eng     Pagination:  943-7     Citation Subset:  IM    
Affiliation:
Department of Child Health, University Hospital of Wales, UK. indi.banerjee@cmmc.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Child
Early Diagnosis
Female
Forecasting
Growth / drug effects
Growth Disorders / drug therapy,  pathology*
Growth Hormone / deficiency*
Human Growth Hormone / therapeutic use
Humans
Hypopituitarism / drug therapy,  pathology*
Male
Prognosis
Retrospective Studies
Time Factors
Treatment Outcome
Chemical
Reg. No./Substance:
12629-01-5/Human Growth Hormone; 9002-72-6/Growth Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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