Growth without growth hormone in combined pituitary hormone deficiency caused by pituitary stalk interruption syndrome

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Growth without growth hormone in combined pituitary hormone deficiency caused by pituitary stalk interruption syndrome

Growth hormone (GH) is an essential element for normal growth. However, reports of normal growth without GH have been made in patients who have undergone brain surgery for craniopharyngioma. Normal growth without GH can be explained by hyperinsulinemia, hyperprolactinemia, elevated leptin levels, and GH variants; however, its exact mechanism has not been elucidated yet. We diagnosed a female pa...

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Diagnosis of growth hormone (GH) deficiency: comparison of pituitary stalk interruption syndrome and transient GH deficiency

BACKGROUND Most patients with childhood non-organic growth hormone (GH) deficiency (GHD) produce a normal GH peak as young adults. Our objectives were to better define this transient GHD and evaluate the factors influencing the growth response of patients with pituitary stalk interruption syndrome (PSIS). METHODS We studied 72 prepubertal patients with a GH peak < 6.7 ng/ml after 2 stimulatio...

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Vitamin D in children with growth hormone deficiency due to pituitary stalk interruption syndrome

BACKGROUND Recent studies have shown a relationship between vitamin D status and growth hormone (GH) and insulin-like growth factor 1 (IGF1). The objective of this study was to assess vitamin D status in children with GH deficiency due to pituitary stalk interruption syndrome (PSIS) and to investigate the relationship between 25-hydroxyvitamin D (25OHD) and 1,25-dihydroxyvitamin D (1,25 (OH) 2D...

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Growth Hormone Deficiency in Autoimmune Pituitary Disorders

GH deficiency (GHD) can manifest in childhood as growth failure, delayed bone age and slow growth velocity, while in adults the picture is more complex and is characterised by negative effects on body composition, cardiovascular functions and poor quality of life. Life expectancy is reduced in adult patients with GHD as a consequence of cardiovascular and cerebrovascular events. Most, if not al...

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Pituitary Disorders Pediatric Growth Hormone Deficiency

Optimal therapy of growth disorders depends on accurate diagnosis and clear goals for therapy. Understanding normal patterns of growth hormone (GH) and insulin-like growth factor secretion are necessary to appreciate the different hormone pattern induced by therapy. Finally, monitoring efficacy and safety, identifying interfering factors, and adjusting doses, are all part of optimizing GH thera...

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ژورنال

عنوان ژورنال: Annals of Pediatric Endocrinology & Metabolism

سال: 2017

ISSN: 2287-1012,2287-1292

DOI: 10.6065/apem.2017.22.1.55