Health and Lifestyle of Adult Patients with Congenital Isolated Growth Hormone Deficiency Treated in Childhood

Treatment of patients with childhood growth hormone deficiency is usually terminated at the end of puberty. Follow-up into adult age is rare, even more so in patients with congenital isolated growth hormone deficiency (cIGHD). To assess the clinical and social characteristics of adults with cIGHD wh...

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Bibliographic Details
Published in:The Israel Medical Association journal 2019-03, Vol.21 (3), p.189-193
Main Authors: Ben-Nun Yaari, Efrat, Kauli, Rivka, Lilos, Pearl, Laron, Zvi
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Child Development
Dwarfism, Pituitary - drug therapy
Female
Hormone Replacement Therapy
Human Growth Hormone - deficiency
Human Growth Hormone - therapeutic use
Humans
Israel
Male
Retrospective Studies
Sexual Maturation
Treatment Outcome
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Summary:Treatment of patients with childhood growth hormone deficiency is usually terminated at the end of puberty. Follow-up into adult age is rare, even more so in patients with congenital isolated growth hormone deficiency (cIGHD). To assess the clinical and social characteristics of adults with cIGHD who received growth hormone (hGH) treatment in childhood. Thirty-nine patients (23 men, 16 women) diagnosed in our clinic with cIGHD at 7 ± 4.2 years, and treated with hGH during childhood for 2-18 years, were followed into adulthood (mean age 30.7 ± 13.3 years). Ascertained detailed data were found for 32 patients. Mean ± SD height for males was 160.2 ± 10.6 cm and for females 146.4 ± 5.4 cm. All patients achieved full sexual development and 14 were married. After cessation of GH treatment and with advanced age all exhibited a progressive increase in adiposity to the degree of obesity. Twelve patients suffered from hyperlipidemia, 4 developed diabetes mellitus, and 5 have cardiovascular diseases. One patient died in an accident. None developed cancer. Of the 39 patients, 22 have an education level of high school or higher, and 2 are in special institutions. Most are employed in manual labor. Patients with congenital IGHD who do not receive early and regular replacement treatment are prone to lag in achieving normal height and suffer from educational and vocational handicaps.
ISSN:1565-1088