Growth hormone deficiency in a Nigerian child with Turner’s syndrome: a case report and review of growth assessment in children.

Authors

  • Iroro Yarhere University of Port Harcourt, Port Harcourt
  • Jaja Tamunopriye Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

DOI:

https://doi.org/10.60787/tnhj.v16i2.202

Keywords:

Turner syndrome, growth hormone deficiency, Nigeria, growth hormone treatment

Abstract

Turner syndrome is the most common chromosomal abnormality affecting women with a prevalence of 1 in 2000 live births. Genetics show that most of the patients have monosomy 45 XO and the commonest phenotype is short stature. Growth hormone deficiency is uncommon but concensus statements have endorsed GH treatment for short girls with Turner syndrome.

Case report: A 15 year old Turner syndrome patient who had delayed evaluation for short status was noticed to be short for age, with a height of 125 cm (-5SDS). Growth hormone stimulation test revealed growth hormone deficiency and she was commenced on growth hormone therapy.

Conclusion: Simple and regular measurement of children’s height with chart plotting is necessary to pick up children who have short status. Growth hormone treatment early in the course of management of a child with Turner syndrome may help achieve normal final height.

Downloads

Download data is not yet available.

Author Biography

Iroro Yarhere, University of Port Harcourt, Port Harcourt

Lecturer and Consultant Paediatrician, College of Health Sciences and Teaching Hospital, University of Port Harcourt

References

Stockholm K, Juul S, Juel K, Naeraa RW, Gravholt CH. Prevalence, incidence, diagnostic delay, and mortality in Turner syndrome. J Clin Endocrinol Metab. 2006;91: 3897–3902.

Ranke MB, Stubbe P, Majewski F, Bierich JR. Spontaneous growth in Turner’s syndrome. Acta Paediatr Scand Suppl. 1988; 343:22–30.

Cavallo L, Gurrado R. Endogenous growth hormone secretion does not correlate with growth in patients with Turner’s syndrome. Italian Study Group for Turner Syndrome. J Pediatr Endocrinol Metab. 1999; 12:623–627.

Blum WF, Cao D, Hesse V, et al. Height gains in response to growth hormone treatment to final height are similar in patients with SHOX deficiency and Turner syndrome. Horm Res. 2009;71(3): 167–172.

Consensus guidelines for the diagnosis and treatment of growth hormone (GH) deficiency in childhood and adolescence: summary statement of the GH Research Society. GH Research Society. J Clin Endocrinol Metab. 2000; 85:3990–3993.

Ito Y, Fujieda K, Tanaka T, et al. Low-dose growth hormone treatment (0.175 mg/kg/week) for short stature in patients with Turner Syndrome: data from KIGS Japan. Endocr J. 2006;53:699–703.

Van Pareren YK, de Muinck Keizer-Schrama SM, Stijnen T, et al. Final height in girls with turner syndrome after long-term growth hormone treatment in three dosages and low dose estrogens. J Clin Endocrinol Metab. 2003;88: 1119–25.

Reh S C, Geffner M E. Somatotropin in the treatment of growth hormone deficiency and Turner syndrome in pediatric patients: a review. Clinical Pharmacology: Advances and Applications 2010:2;111–122

Cunniff C, Jones KL, Benirschke K. Ovarian dysgenesis in individuals with chromosomal abnormalities. Human Genetics. 1991;86:552–6.

Bryman I, Sylvén L, Berntorp K, Innala E, Bergström I, Hanson C, et al. Pregnancy rate and outcome in Swedish women with Turner syndrome. Fertil Steril. 2011;95:2507–2510.

Habrecht MF, Menon V, Warsofsky IS, et al. Functional neuroanatomy of visuo-spatial working memory in Turner syndrome. Hum Brain Mapp 2001;14:96-107.

Elliot TK, Watkins JM, Messa C, et al. Positron emission tomography and neuropsychological correlations in children with Turner’s syndrome. Dev Neuropsychol 1996;12:365-86.

Downloads

Published

2016-10-25

How to Cite

Yarhere, I., & Tamunopriye, J. (2016). Growth hormone deficiency in a Nigerian child with Turner’s syndrome: a case report and review of growth assessment in children. The Nigerian Health Journal, 16(2), 124. https://doi.org/10.60787/tnhj.v16i2.202
Abtract Views | PDF Download | EPUB Download: 814 / 96

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.