Usefulness of serum insulin-like growth factor I assessment in the diagnosis of childhood-onset growth hormone deficiency.

Abstract:

:The diagnosis of childhood-onset growth hormone (GH) deficiency (GHD) is not straightforward, requiring a comprehensive clinical, anthropometric, biochemical, endocrine, and neuroradiological assessment. Although pharmacological GH stimulation tests are still considered the gold standard for GHD diagnosis, they are burdened by both poor specificity and side effects. The measurement of insulin-like growth factor I (IGF-I), due to its close GH dependency, was proposed for diagnosing GHD. However, a number of factors may affect the measurements. Herein, we propose an algorithm based on both IGF-I determination and anthropometry, aimed at simplifying the diagnosis of GHD in prepubertal children.

journal_name

Horm Res Paediatr

authors

Federico G,Cianfarani S

doi

10.1159/000314895

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

145-8

issue

2

eissn

1663-2818

issn

1663-2826

pii

000314895

journal_volume

74

pub_type

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