Growth hormone treatment in Turner's syndrome: A real world experience

Objective: Short stature is a universal clinical feature of Turner's syndrome (TS). Growth failure begins in fetal life, and adults with TS are on an average 20 cm shorter than the normal female population. Since there is a paucity of data from India regarding the effect of growth hormone (GH)...

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Main Authors: Vijay Sheker Reddy Danda, P Sreedevi, G Arun, P Srinivas Rao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=3;spage=378;epage=381;aulast=Reddy
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author Vijay Sheker Reddy Danda
P Sreedevi
G Arun
P Srinivas Rao
author_facet Vijay Sheker Reddy Danda
P Sreedevi
G Arun
P Srinivas Rao
author_sort Vijay Sheker Reddy Danda
collection DOAJ
description Objective: Short stature is a universal clinical feature of Turner's syndrome (TS). Growth failure begins in fetal life, and adults with TS are on an average 20 cm shorter than the normal female population. Since there is a paucity of data from India regarding the effect of growth hormone (GH) on TS patients, we retrospectively analyzed the data of TS patients who are on GH treatment. Methods: This hospital-based observational retrospective study was conducted in a tertiary care hospital of Hyderabad. The data such as height, weight, and bone age of 16 patients who are diagnosed with TS on GH therapy for at least 6 months were included in the study. All the patients were treated with human recombinant GH at the dose of 0.3 mg/kg/week administered as daily subcutaneous injections. Results: The mean age at diagnosis was 12.7 years. The mean height at the start of GH therapy was 1.26 m, and mean height standard deviation score (HSDS) was-0.61 when compared to Turner's specific reference data. With a mean duration of GH therapy of 25 months, the mean height at the end of therapy was 1.37 m and the mean height as per HSDS was + 0.37 resulting in a mean height gain of + 0.99 HSDS. Conclusion: Our observation shows that girls with TS benefit from early diagnosis and initiation of treatment with GH.
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spelling doaj.art-1119921bf9624f129b1d41b28220fe522022-12-21T17:58:04ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102017-01-0121337838110.4103/ijem.IJEM_36_17Growth hormone treatment in Turner's syndrome: A real world experienceVijay Sheker Reddy DandaP SreedeviG ArunP Srinivas RaoObjective: Short stature is a universal clinical feature of Turner's syndrome (TS). Growth failure begins in fetal life, and adults with TS are on an average 20 cm shorter than the normal female population. Since there is a paucity of data from India regarding the effect of growth hormone (GH) on TS patients, we retrospectively analyzed the data of TS patients who are on GH treatment. Methods: This hospital-based observational retrospective study was conducted in a tertiary care hospital of Hyderabad. The data such as height, weight, and bone age of 16 patients who are diagnosed with TS on GH therapy for at least 6 months were included in the study. All the patients were treated with human recombinant GH at the dose of 0.3 mg/kg/week administered as daily subcutaneous injections. Results: The mean age at diagnosis was 12.7 years. The mean height at the start of GH therapy was 1.26 m, and mean height standard deviation score (HSDS) was-0.61 when compared to Turner's specific reference data. With a mean duration of GH therapy of 25 months, the mean height at the end of therapy was 1.37 m and the mean height as per HSDS was + 0.37 resulting in a mean height gain of + 0.99 HSDS. Conclusion: Our observation shows that girls with TS benefit from early diagnosis and initiation of treatment with GH.http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=3;spage=378;epage=381;aulast=ReddyGrowth hormoneshort statureTurner's syndrome
spellingShingle Vijay Sheker Reddy Danda
P Sreedevi
G Arun
P Srinivas Rao
Growth hormone treatment in Turner's syndrome: A real world experience
Indian Journal of Endocrinology and Metabolism
Growth hormone
short stature
Turner's syndrome
title Growth hormone treatment in Turner's syndrome: A real world experience
title_full Growth hormone treatment in Turner's syndrome: A real world experience
title_fullStr Growth hormone treatment in Turner's syndrome: A real world experience
title_full_unstemmed Growth hormone treatment in Turner's syndrome: A real world experience
title_short Growth hormone treatment in Turner's syndrome: A real world experience
title_sort growth hormone treatment in turner s syndrome a real world experience
topic Growth hormone
short stature
Turner's syndrome
url http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=3;spage=378;epage=381;aulast=Reddy
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AT psreedevi growthhormonetreatmentinturnerssyndromearealworldexperience
AT garun growthhormonetreatmentinturnerssyndromearealworldexperience
AT psrinivasrao growthhormonetreatmentinturnerssyndromearealworldexperience