Abstract |
We report on the auxological and endocrine evolution of 28 patients presenting with Prader-Willi syndrome. Half of them received growth hormone (GH) therapy (group 2). The spontaneous auxological evolution was analyzed in the two groups from 2 to 8 years; the mean SDS for height remained stable (-0.6 +/- 0.6) in group 1 and decreased (from -2.0 +/- 0.9 to -2.7 +/- 0.6) in group 2. Magnetic resonance imaging showed marked pituitary hypoplasia in the two groups. In group 2, the mean GH peak after two provocative tests was 3.8 +/- 2.4 microg/l, the mean SDS values for insulin-like growth factor I levels were -2.0 +/- 1.5 (range from -0.5 to -5.0). The mean duration of GH treatment was 3.6 +/- 2.9 (range 1-9.3) years. 14 children completed 1 year of treatment. The two groups had opposite evolutions in Delta SDS for height (-0.8 +/- 0.8 vs. +1.1 +/- 0.8), for growth velocity (-1.9 +/- 2.2 vs. +2.9 +/- 2.7), and for Z score of the body mass index (+0.37 +/- 1.3 vs. -0.14 +/- 0.76; group 1 vs. group 2). This retrospective study shows that, in children with Prader-Willi syndrome and true GH deficiency, long-term GH therapy is effective in increasing growth velocity and in maintaining body mass index.
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Authors | M Tauber, C Barbeau, B Jouret, C Pienkowski, P Malzac, A Moncla, P Rochiccioli |
Journal | Hormone research
(Horm Res)
Vol. 53
Issue 6
Pg. 279-87
( 2000)
ISSN: 0301-0163 [Print] Switzerland |
PMID | 11146368
(Publication Type: Journal Article)
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Copyright | Copyright 2001 S. Karger AG, Basel |
Chemical References |
- Human Growth Hormone
- Insulin-Like Growth Factor I
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Topics |
- Adolescent
- Adult
- Body Height
- Body Mass Index
- Child
- Child, Preschool
- Cryptorchidism
(complications, diagnosis)
- Female
- Human Growth Hormone
(blood, therapeutic use)
- Humans
- Hyperinsulinism
(complications, diagnosis)
- Hypothyroidism
(complications, diagnosis)
- Infant
- Insulin-Like Growth Factor I
(analysis)
- Magnetic Resonance Imaging
- Male
- Pituitary Gland
(pathology)
- Prader-Willi Syndrome
(complications, drug therapy, physiopathology)
- Puberty
- Retrospective Studies
- Treatment Outcome
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