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Laron Syndrome
Primary growth hormone (GH) resistance or growth hormone insensitivity syndrome, also called Laron syndrome, is a hereditary disease caused by mutations in the GH receptor or in the post-receptor signaling pathway. This disorder is characterized by postnatal growth failure resembling GH deficiency....
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Published in: | Journal of the ASEAN Federation of Endocrine Societies 2023-09, Vol.38 (2) |
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container_title | Journal of the ASEAN Federation of Endocrine Societies |
container_volume | 38 |
creator | Niladri Das Silima Subhasnigdha Tarenia Souvik Saha Prashant Manohar Gaikwad Deep Kamlesh Hathi Soumik Goswami Arjun Baidya Nilanjan Sengupta |
description | Primary growth hormone (GH) resistance or growth hormone insensitivity syndrome, also called Laron syndrome, is a hereditary disease caused by mutations in the GH receptor or in the post-receptor signaling pathway. This disorder is characterized by postnatal growth failure resembling GH deficiency. Differentiating the two conditions is necessary. We present the cases of two siblings, a 16-year-old female and a 9-year-old male, born from a consanguineous union. Both had normal birth weights with subsequent severe short stature and delayed teeth eruption, with no features suggestive of any systemic illness. Serum insulin-like growth factor 1 (IGF1) and insulin-like growth factor binding protein 3 (IGFBP3) were both low. Suspecting GH deficiency, provocative testing with clonidine was done revealing peak growth hormone >40 ng/mL in both patients. In view of low IGF1 and IGFBP3 and high GH on stimulation, IGF1 generation test was done for both siblings, with values supporting the diagnosis of GH insensitivity or Laron syndrome. |
doi_str_mv | 10.15605/jafes.038.02.22 |
format | article |
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This disorder is characterized by postnatal growth failure resembling GH deficiency. Differentiating the two conditions is necessary. We present the cases of two siblings, a 16-year-old female and a 9-year-old male, born from a consanguineous union. Both had normal birth weights with subsequent severe short stature and delayed teeth eruption, with no features suggestive of any systemic illness. Serum insulin-like growth factor 1 (IGF1) and insulin-like growth factor binding protein 3 (IGFBP3) were both low. Suspecting GH deficiency, provocative testing with clonidine was done revealing peak growth hormone >40 ng/mL in both patients. In view of low IGF1 and IGFBP3 and high GH on stimulation, IGF1 generation test was done for both siblings, with values supporting the diagnosis of GH insensitivity or Laron syndrome.</description><identifier>ISSN: 0857-1074</identifier><identifier>EISSN: 2308-118X</identifier><identifier>DOI: 10.15605/jafes.038.02.22</identifier><language>eng</language><publisher>ASEAN Federation of Endocrine Societies</publisher><subject>growth hormone deficiency ; Growth hormone insensitivity ; Laron syndrome ; short stature</subject><ispartof>Journal of the ASEAN Federation of Endocrine Societies, 2023-09, Vol.38 (2)</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Niladri Das</creatorcontrib><creatorcontrib>Silima Subhasnigdha Tarenia</creatorcontrib><creatorcontrib>Souvik Saha</creatorcontrib><creatorcontrib>Prashant Manohar Gaikwad</creatorcontrib><creatorcontrib>Deep Kamlesh Hathi</creatorcontrib><creatorcontrib>Soumik Goswami</creatorcontrib><creatorcontrib>Arjun Baidya</creatorcontrib><creatorcontrib>Nilanjan Sengupta</creatorcontrib><title>Laron Syndrome</title><title>Journal of the ASEAN Federation of Endocrine Societies</title><description>Primary growth hormone (GH) resistance or growth hormone insensitivity syndrome, also called Laron syndrome, is a hereditary disease caused by mutations in the GH receptor or in the post-receptor signaling pathway. This disorder is characterized by postnatal growth failure resembling GH deficiency. Differentiating the two conditions is necessary. We present the cases of two siblings, a 16-year-old female and a 9-year-old male, born from a consanguineous union. Both had normal birth weights with subsequent severe short stature and delayed teeth eruption, with no features suggestive of any systemic illness. Serum insulin-like growth factor 1 (IGF1) and insulin-like growth factor binding protein 3 (IGFBP3) were both low. Suspecting GH deficiency, provocative testing with clonidine was done revealing peak growth hormone >40 ng/mL in both patients. In view of low IGF1 and IGFBP3 and high GH on stimulation, IGF1 generation test was done for both siblings, with values supporting the diagnosis of GH insensitivity or Laron syndrome.</description><subject>growth hormone deficiency</subject><subject>Growth hormone insensitivity</subject><subject>Laron syndrome</subject><subject>short stature</subject><issn>0857-1074</issn><issn>2308-118X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNqtzL0KwjAUQOEgChats6Mv0HjT_DqLouCmg1u4mkRa2kYSF99eEB_B6cA3HEKWDCiTCuS6xeAzBW4o1LSuR6SoOZiKMXMdkwKM1BUDLaakzLkFAAaSK8UKsjhhisPq_B5cir2fk0nALvvy1xk57neX7aFyEVv7TE2P6W0jNvYLMT0spldz77xFFMbpEKR3QnDtMTBlbkoovwlcOsf_-foA4OxJew</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Niladri Das</creator><creator>Silima Subhasnigdha Tarenia</creator><creator>Souvik Saha</creator><creator>Prashant Manohar Gaikwad</creator><creator>Deep Kamlesh Hathi</creator><creator>Soumik Goswami</creator><creator>Arjun Baidya</creator><creator>Nilanjan Sengupta</creator><general>ASEAN Federation of Endocrine Societies</general><scope>DOA</scope></search><sort><creationdate>20230901</creationdate><title>Laron Syndrome</title><author>Niladri Das ; Silima Subhasnigdha Tarenia ; Souvik Saha ; Prashant Manohar Gaikwad ; Deep Kamlesh Hathi ; Soumik Goswami ; Arjun Baidya ; Nilanjan Sengupta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-doaj_primary_oai_doaj_org_article_aa48d7ff5ed4437eaf168b646e9f35dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>growth hormone deficiency</topic><topic>Growth hormone insensitivity</topic><topic>Laron syndrome</topic><topic>short stature</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Niladri Das</creatorcontrib><creatorcontrib>Silima Subhasnigdha Tarenia</creatorcontrib><creatorcontrib>Souvik Saha</creatorcontrib><creatorcontrib>Prashant Manohar Gaikwad</creatorcontrib><creatorcontrib>Deep Kamlesh Hathi</creatorcontrib><creatorcontrib>Soumik Goswami</creatorcontrib><creatorcontrib>Arjun Baidya</creatorcontrib><creatorcontrib>Nilanjan Sengupta</creatorcontrib><collection>Directory of Open Access Journals</collection><jtitle>Journal of the ASEAN Federation of Endocrine Societies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Niladri Das</au><au>Silima Subhasnigdha Tarenia</au><au>Souvik Saha</au><au>Prashant Manohar Gaikwad</au><au>Deep Kamlesh Hathi</au><au>Soumik Goswami</au><au>Arjun Baidya</au><au>Nilanjan Sengupta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laron Syndrome</atitle><jtitle>Journal of the ASEAN Federation of Endocrine Societies</jtitle><date>2023-09-01</date><risdate>2023</risdate><volume>38</volume><issue>2</issue><issn>0857-1074</issn><eissn>2308-118X</eissn><abstract>Primary growth hormone (GH) resistance or growth hormone insensitivity syndrome, also called Laron syndrome, is a hereditary disease caused by mutations in the GH receptor or in the post-receptor signaling pathway. This disorder is characterized by postnatal growth failure resembling GH deficiency. Differentiating the two conditions is necessary. We present the cases of two siblings, a 16-year-old female and a 9-year-old male, born from a consanguineous union. Both had normal birth weights with subsequent severe short stature and delayed teeth eruption, with no features suggestive of any systemic illness. Serum insulin-like growth factor 1 (IGF1) and insulin-like growth factor binding protein 3 (IGFBP3) were both low. Suspecting GH deficiency, provocative testing with clonidine was done revealing peak growth hormone >40 ng/mL in both patients. In view of low IGF1 and IGFBP3 and high GH on stimulation, IGF1 generation test was done for both siblings, with values supporting the diagnosis of GH insensitivity or Laron syndrome.</abstract><pub>ASEAN Federation of Endocrine Societies</pub><doi>10.15605/jafes.038.02.22</doi><oa>free_for_read</oa></addata></record> |
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identifier | ISSN: 0857-1074 |
ispartof | Journal of the ASEAN Federation of Endocrine Societies, 2023-09, Vol.38 (2) |
issn | 0857-1074 2308-118X |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_aa48d7ff5ed4437eaf168b646e9f35dd |
source | PubMed |
subjects | growth hormone deficiency Growth hormone insensitivity Laron syndrome short stature |
title | Laron Syndrome |
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