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Multiple pituitary hormone deficiency (MPHD) associated with normal height, absent puberty and obesity
Mirjana Doknic1, Sandra Pekic, Marina Djurovic
1Neuroendocrine Unit, Institute of Endocrinology University Clinical Center, Belgrade, Serbia and Montenegro.
Abstract:
We present a 22-year old girl with MPHD and a normal pituitary imaging (MRI) who grew to normal size without GH. She was very obese. At age 19 years replacement therapy with hydrocortisone, L-thyroxine and sex steroids was started. Despite severe growth hormone deficiency according to the provocative tests and decreased IGF I level our patient grew normally. On follow up at age 22 she is 174cm tall.
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