Related Experiment Video
Updated: Jul 11, 2026

Comparative Analysis of Human Growth Hormone in Serum Using SPRi, Nano-SPRi and ELISA Assays
Published on: January 7, 2016
[Growth hormone administration in the treatment of growth retardation in juvenile SLE--case history]
Anna Górska1, Maria Gardziejczyk, Mirosława Urban
1II Klinika Chorób Dzieci Dzieciecego Szpitala Klinicznego AM w Białymstoku. agorska50@wp.pl
Insights
Growth hormone (GH) therapy effectively promoted catch-up growth in a young patient with juvenile systemic lupus erythematosus (JSLE). The one-year treatment resulted in significant height increase with no major adverse effects.
Area of Science:
- Pediatric Endocrinology
- Autoimmune Diseases
- Growth Disorders
Background:
- Juvenile systemic lupus erythematosus (JSLE) can cause chronic inflammation and growth inhibition, often exacerbated by long-term steroid therapy.
- Assessing the efficacy of growth hormone (GH) therapy is crucial for managing growth deficits in children with chronic illnesses.
Observation:
- A 17-year-old female with JSLE, diagnosed at age 11, experienced significant growth failure (148 cm at 16 years old, below the 3rd percentile).
- Prior to GH therapy, her growth rate had slowed to approximately 1 cm/year, with a skeletal age of 11 years.
- She presented with Tanner stage II thelarche and Tanner stage I pubarche, indicating delayed puberty.
Findings:
- One year of GH therapy (30 IU weekly) resulted in a 7.5 cm height increase within the first six months, reaching 161 cm.
- The treatment period was characterized by disease stability, with no JSLE exacerbations or glucose intolerance.
- Minor side effects included transient thirst and lower extremity edema in the first week, with overall improved well-being.
Implications:
- GH therapy can facilitate catch-up growth in adolescents with JSLE, counteracting disease-related and treatment-induced growth impairment.
- This approach appears safe and effective, leading to significant height gain without compromising disease control or causing serious adverse events.
- Further research into long-term outcomes and optimal dosing strategies for GH therapy in JSLE patients is warranted.
Introduction:
A chronic autoimmune inflammatory process and a long-term steroid therapy seems to underlie growth inhibition in children suffering from juvenile systemic lupus erythematosus (JSLE). The study objective was to assess the effect of one-year GH therapy on the growth rate in a 17-year-old girl with JSLE diagnosed when she was 11.
Case Description:
Growth rate slowdown was observed when the girl was eleven (up to the age of 10 the growth was harmonious--50 centile). Since then, the mean gain in body height was approximately 1 cm/year. At the age of 16 (prior to the start of GH therapy), she was 148 cm high (below 3 centile), telarche II degrees, pubarche I degrees. The skeletal age corresponded to approximately 11 years according to the method of Greulich-Pyle. The girl underwent hormonal examinations in the Endocrinology Outpatient Department, including stimulatory tests of pituitary GH reserve, and based on the findings she was qualified for GH therapy, at a weekly dose of 30 IU. Within the 6-month-therapy, the patient grew by 7.5 cm, with the final outcome of 161 cm. The period of treatment was free of JSLE exacerbations or glucose tolerance disturbances. The only side effects included enhanced thirst and transitory oedema of the lower extremities observed in the first week of therapy. At the same time the patient's general feeling improved.
Conclusions:
During a one-year GH therapy, the girl achieved catch-up growth, which was accompanied by body weight reduction and no significant side effects.
Related Concept Videos
Role of Hematopoietic Growth Factors
Thrombopoietin (TPO), mainly released by the liver,...
Hypoglycemia and Glucagon
Major Hormones and Their Functions
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and lactation.
Hormones and Bone Tissue
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Cushing Syndrome I: Introduction
