Effect of Growth Hormone Therapy on a 4-Year-Old Girl with Pfeiffer Syndrome and Short Stature: A Case Report

Fibroblast growth factor receptors (<i>FGFR</i>s) are expressed in epiphyseal cartilage cells of developing bones and regulate endochondral bone formation with interdependent signaling pathways. Gene mutation in <i>FGFR</i>s disrupts the formation of endochondral bony structu...

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Main Authors: Min Jeong Jang, Moon Bae Ahn
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/4/547
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author Min Jeong Jang
Moon Bae Ahn
author_facet Min Jeong Jang
Moon Bae Ahn
author_sort Min Jeong Jang
collection DOAJ
description Fibroblast growth factor receptors (<i>FGFR</i>s) are expressed in epiphyseal cartilage cells of developing bones and regulate endochondral bone formation with interdependent signaling pathways. Gene mutation in <i>FGFR</i>s disrupts the formation of endochondral bony structure by reducing the number of proliferating chondrocytes. Among the syndromes caused by mutation in the <i>FGFR</i> gene, Pfeiffer syndrome is a rare inherited disease characterized by acrocephalosyndactyly related to hypertelorism, broad pollex, and hallux. We describe the case of a 4-year-old girl with short stature, advanced bone age, wide thumbs and great toes. The patient was diagnosed with partial growth hormone deficiency and an identified mutation in the <i>FGFR2</i> gene. Standard deviation score of her height increased after starting growth hormone therapy. This report will raise awareness of the growth hormone provocation test regardless of bone age in patients with short stature founded <i>FGFR</i> gene mutation.
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spelling doaj.art-d8f6febf281848f4b71e09b6a8548fed2023-12-01T01:19:37ZengMDPI AGChildren2227-90672022-04-019454710.3390/children9040547Effect of Growth Hormone Therapy on a 4-Year-Old Girl with Pfeiffer Syndrome and Short Stature: A Case ReportMin Jeong Jang0Moon Bae Ahn1Department of Pediatrics, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, KoreaFibroblast growth factor receptors (<i>FGFR</i>s) are expressed in epiphyseal cartilage cells of developing bones and regulate endochondral bone formation with interdependent signaling pathways. Gene mutation in <i>FGFR</i>s disrupts the formation of endochondral bony structure by reducing the number of proliferating chondrocytes. Among the syndromes caused by mutation in the <i>FGFR</i> gene, Pfeiffer syndrome is a rare inherited disease characterized by acrocephalosyndactyly related to hypertelorism, broad pollex, and hallux. We describe the case of a 4-year-old girl with short stature, advanced bone age, wide thumbs and great toes. The patient was diagnosed with partial growth hormone deficiency and an identified mutation in the <i>FGFR2</i> gene. Standard deviation score of her height increased after starting growth hormone therapy. This report will raise awareness of the growth hormone provocation test regardless of bone age in patients with short stature founded <i>FGFR</i> gene mutation.https://www.mdpi.com/2227-9067/9/4/547Pfeiffer syndromegrowth hormone therapyshort staturefibroblast growth factor
spellingShingle Min Jeong Jang
Moon Bae Ahn
Effect of Growth Hormone Therapy on a 4-Year-Old Girl with Pfeiffer Syndrome and Short Stature: A Case Report
Children
Pfeiffer syndrome
growth hormone therapy
short stature
fibroblast growth factor
title Effect of Growth Hormone Therapy on a 4-Year-Old Girl with Pfeiffer Syndrome and Short Stature: A Case Report
title_full Effect of Growth Hormone Therapy on a 4-Year-Old Girl with Pfeiffer Syndrome and Short Stature: A Case Report
title_fullStr Effect of Growth Hormone Therapy on a 4-Year-Old Girl with Pfeiffer Syndrome and Short Stature: A Case Report
title_full_unstemmed Effect of Growth Hormone Therapy on a 4-Year-Old Girl with Pfeiffer Syndrome and Short Stature: A Case Report
title_short Effect of Growth Hormone Therapy on a 4-Year-Old Girl with Pfeiffer Syndrome and Short Stature: A Case Report
title_sort effect of growth hormone therapy on a 4 year old girl with pfeiffer syndrome and short stature a case report
topic Pfeiffer syndrome
growth hormone therapy
short stature
fibroblast growth factor
url https://www.mdpi.com/2227-9067/9/4/547
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AT moonbaeahn effectofgrowthhormonetherapyona4yearoldgirlwithpfeiffersyndromeandshortstatureacasereport