[Pattern of spontaneous and post-stimulation FSH and LH in male adolescents with thalassemia].

Abstract:

BACKGROUND:In the last years thalassemic patients gained a good improvement in prognosis and life style. However, short stature and hypogonadism are still frequent endocrine problems in this population. METHODS:In a group of eleven thalassemic males (14-18 years old), the spontaneous nocturnal endocrine patterns of LH and FSH and plasma gonadotropins in response to GnRH were studied. The profiles were analyzed using a computer program (PULSAR) to determine the secretion pattern (number and amplitude of peaks) and the area under the curve above the secretion baseline (AUC). The endocrine status was compared with liver fibrosis, iron overload and transfusional regimen. RESULTS:A regular and homogeneous transfusion and chelation management often does not prevent pubertal failure; it is related with the degree of liver fibrosis and often it is due to hypothalamic and/or pituitary dysfunction. CONCLUSIONS:Spontaneous gonadotropin profiles can be useful to evaluate hypogonadotropic hypogonadism in order to start the correct treatment.

journal_name

Minerva Pediatr

journal_title

Minerva pediatrica

authors

Maggio C,Giuffrè M,Cuccia L,Borsellino Z,Capra M,Liotta A

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

147-50

issue

5

eissn

0026-4946

issn

1827-1715

journal_volume

50

pub_type

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  • Respiratory syncytial virus in infants: what's to know.

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  • [Measuring the mineral content of the distal radius in the age of growth].

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  • Impact of modification of diagnostic techniques and criteria on the presentation of celiac disease in the last 16 years. Observation in Rome.

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  • Brain cooling reduces the risk of post-neonatal epilepsy in newborns affected by moderate to severe hypoxic-ischemic encephalopathy.

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  • [Non-Hodgkin's lymphoma with hepatosplenic involvement. The importance of imaging diagnosis using magnetic resonance tomography].

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