Hyperphagic short stature: A case report and review of literature

A 5½-year-old adopted girl was referred to us in view of short stature. After ruling out systemic illness, she was evaluated for growth hormone deficiency (GHD) by stimulation tests. The peak value was 3.47 ng/ml. She was then started on growth hormone (GH). At the end of 6 months of GH therapy, her...

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Main Authors: Varsha S Jagtap, Vijaya Sarathi, Anurag R Lila, Amol P Bukan, Tushar Bandgar, Padmavathy Menon, Nalini S Shah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2012;volume=16;issue=4;spage=624;epage=626;aulast=Jagtap
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author Varsha S Jagtap
Vijaya Sarathi
Anurag R Lila
Amol P Bukan
Tushar Bandgar
Padmavathy Menon
Nalini S Shah
author_facet Varsha S Jagtap
Vijaya Sarathi
Anurag R Lila
Amol P Bukan
Tushar Bandgar
Padmavathy Menon
Nalini S Shah
author_sort Varsha S Jagtap
collection DOAJ
description A 5½-year-old adopted girl was referred to us in view of short stature. After ruling out systemic illness, she was evaluated for growth hormone deficiency (GHD) by stimulation tests. The peak value was 3.47 ng/ml. She was then started on growth hormone (GH). At the end of 6 months of GH therapy, her height velocity was only 3 cm/year. There was a lack of attachment between the mother and the child. She had history of hyperphagia, stealing, and hoarding food. Psychiatry consultation confirmed that the child had appetite disorder, and hence was diagnosed as hyperphagic short stature (HSS). The girl and her parents are undergoing psychiatric therapy for the same. Psychosocial dwarfism seems to originate from serious disturbances in the mother-child relationship. These children mimic patients with GHD, but have poor response to GH therapy. This case underscores the importance of social environment in the growth of the individual.
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spelling doaj.art-20046bd0ad6c42b78426b2639c770a662022-12-21T20:12:31ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002012-01-0116462462610.4103/2230-8210.98026Hyperphagic short stature: A case report and review of literatureVarsha S JagtapVijaya SarathiAnurag R LilaAmol P BukanTushar BandgarPadmavathy MenonNalini S ShahA 5½-year-old adopted girl was referred to us in view of short stature. After ruling out systemic illness, she was evaluated for growth hormone deficiency (GHD) by stimulation tests. The peak value was 3.47 ng/ml. She was then started on growth hormone (GH). At the end of 6 months of GH therapy, her height velocity was only 3 cm/year. There was a lack of attachment between the mother and the child. She had history of hyperphagia, stealing, and hoarding food. Psychiatry consultation confirmed that the child had appetite disorder, and hence was diagnosed as hyperphagic short stature (HSS). The girl and her parents are undergoing psychiatric therapy for the same. Psychosocial dwarfism seems to originate from serious disturbances in the mother-child relationship. These children mimic patients with GHD, but have poor response to GH therapy. This case underscores the importance of social environment in the growth of the individual.http://www.ijem.in/article.asp?issn=2230-8210;year=2012;volume=16;issue=4;spage=624;epage=626;aulast=JagtapGrowth hormone deficiencyhyperphagic short staturepsychosocial short stature
spellingShingle Varsha S Jagtap
Vijaya Sarathi
Anurag R Lila
Amol P Bukan
Tushar Bandgar
Padmavathy Menon
Nalini S Shah
Hyperphagic short stature: A case report and review of literature
Indian Journal of Endocrinology and Metabolism
Growth hormone deficiency
hyperphagic short stature
psychosocial short stature
title Hyperphagic short stature: A case report and review of literature
title_full Hyperphagic short stature: A case report and review of literature
title_fullStr Hyperphagic short stature: A case report and review of literature
title_full_unstemmed Hyperphagic short stature: A case report and review of literature
title_short Hyperphagic short stature: A case report and review of literature
title_sort hyperphagic short stature a case report and review of literature
topic Growth hormone deficiency
hyperphagic short stature
psychosocial short stature
url http://www.ijem.in/article.asp?issn=2230-8210;year=2012;volume=16;issue=4;spage=624;epage=626;aulast=Jagtap
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AT amolpbukan hyperphagicshortstatureacasereportandreviewofliterature
AT tusharbandgar hyperphagicshortstatureacasereportandreviewofliterature
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