Growth
Growth Hormone Deficiency
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Growth Hormone Deficiency
, GH Deficiency, Somatotropin Deficiency
See Also
Short Stature
Epidemiology
Incidence
: 1 in 3,000 to 9,000
Causes
Congenital
Acquired
Head Trauma
CNS Infection
Birth Trauma
Cranial irradiation
Signs
Congenital GH Deficiency (newborns)
Normal size at birth
Subsequently falls off height growth curve
Weight for age is preserved
Episodic
Hypoglycemia
Prolonged
Neonatal Jaundice
Micropallus
Midline craniofacial abnormalities
Imaging
Bone Age Film
Delayed
Bone Age
Brain MRI
Labs (in Consultation with pediatric endocrinology)
Screening
Insulinlike Growth Factor 1
(IGF-1)
Insulin
like Growth Factor binding protein 3
Diagnosis
Negative
Growth Hormone
provocation test
Pituitary Function Tests
Management
Pediatric Endocrinology referral
Recombinant
Growth Hormone
injections daily
References
(2000) J Clin Endocrinol Metab 92(3): 804-10 [PubMed]
Barstow (2015) Am Fam Physician 92(1): 43-50 [PubMed]
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