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Is treatment with growth hormone effective in children with cerebral palsy?

Published online by Cambridge University Press:  27 July 2004

Melanie L Shim
Affiliation:
Mattel Children's Hospital at UCLA, Los Angeles, CA, USA.
Thomas Moshang
Affiliation:
The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
William L Oppenheim
Affiliation:
Orthopedic Hospital/UCLA Center for Cerebral Palsy, Los Angeles, CA, USA.
Pinchas Cohen
Affiliation:
Mattel Children's Hospital at UCLA, Los Angeles, CA, USA.
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Abstract

Children with cerebral palsy (CP) often have poor linear growth during childhood, resulting in a diminished final adult height. Here we report a female with CP and short stature but without growth hormone (GH) deficiency who exhibited increased growth during treatment with GH. We also report two other children with CP who were treated with GH: one female with a history of leukemia, and a male with Klinefelter syndrome. These two children were both found to be GH-deficient by insulin provocative GH testing and responded to treatment with increased growth rate. Growth improved to a greater extent in the two children with apparent GH deficiency. In summary, it is felt that GH therapy might be beneficial for children with CP and warrants further investigation.

Type
Case Report
Copyright
© 2004 Mac Keith Press

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