Abstract |
Ten children with isolated growth hormone deficiency were treated for 1 year with 0.5 UI/kg week with Somatrem (recombinant human growth hormone), given as intramuscular injections three times weekly. Before treatment the children had a chronological age of 7-12.4 years (mean 10.4 years), with a bone age at least 25% below the chronological age. There was no radiological evidence of an intra or suprasellar mass in any child, and no response to provocative growth hormone tests (with exercise or arginine- insulin injection). Informed written consent for treatment was obtained from the parents of each child. Clinical signs were registered every month; triiodothyronine, thyroxine, thyrotropine, glucose, urea, creatinine, blood cells count, and hemoglobine, glycosylated hemoglobine, glutamic-piruvic and glutamic-oxalacetic transaminases, alkaline phosphatase, anti- human growth hormone and, E. coli antibodies, insulin like growth factor 1, and bone age were assessed every 3 months. The mean height velocity was 0.27 +/- 0.1 cm/month before treatment, and increased throughout treatment to a value of 0.62 +/- 0.16 cm/month after 12 months. Within the first year eight of the 10 children had a height increase of 8.4 +/- 0.98 cm. The other two children showed no significant difference; one of them with a very low socioeconomic status, and the other developed typhoid fever. All of the children showed an advance in bone age, but none reached a bone age appropriate for their chronological age; without modifications in the laboratory parameters. Insulin like growth factor 1 increased in 9 children. Pain at the injection site was the only side effect reported.
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Authors | F Mendoza-Morfin, H Cárdenas-Tirado |
Journal | Boletin medico del Hospital Infantil de Mexico
(Bol Med Hosp Infant Mex)
Vol. 47
Issue 8
Pg. 551-6
(Aug 1990)
ISSN: 0539-6115 [Print] Mexico |
Vernacular Title | Evaluación clínica y bioquímica de la administración de hormona de crecimiento. |
PMID | 2257092
(Publication Type: English Abstract, Journal Article)
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Chemical References |
- Recombinant Proteins
- Human Growth Hormone
- Growth Hormone
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Topics |
- Antibody Formation
- Child
- Female
- Growth Disorders
(blood, drug therapy)
- Growth Hormone
(analogs & derivatives, immunology, therapeutic use)
- Human Growth Hormone
- Humans
- Male
- Recombinant Proteins
(immunology, therapeutic use)
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