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Updated: Feb 18, 2026

Comparative Analysis of Human Growth Hormone in Serum Using SPRi, Nano-SPRi and ELISA Assays
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Growth hormone insensitivity: Mexican case report.

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Summary

Short stature unresponsive to growth hormone (GH) treatment may indicate Laron Syndrome. Early diagnosis and insulin-like growth factor-1 (IGF-1) therapy are crucial for managing this rare genetic disorder.

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Area of Science:

  • Pediatric Endocrinology
  • Genetics
  • Metabolic Disorders

Background:

  • Short stature is a common pediatric concern.
  • Growth hormone (GH) therapy is a standard treatment for many causes of short stature.
  • Failure to respond to GH necessitates further investigation into the GH/IGF-1 axis.

Purpose of the Study:

  • To present a case of Laron Syndrome diagnosed due to non-response to GH therapy.
  • To highlight the importance of evaluating the GH/IGF-1 axis in non-responsive short stature.
  • To discuss the implications of Laron Syndrome diagnosis and treatment.

Main Methods:

  • Clinical evaluation of a 14-year-old patient with short stature.
  • Biochemical testing including GH and insulin-like growth factor-1 (IGF-1) levels.
  • Molecular genetic testing for mutations in IGF1R and IGFALS genes.

Main Results:

  • The patient exhibited short stature, normal GH levels, and low IGF-1 levels.
  • Molecular diagnosis revealed mutations in IGF1R and IGFALS, confirming Laron Syndrome (GH insensitivity).
  • The patient was initiated on IGF-1 substitutive therapy.

Conclusions:

  • Evaluation of the GH/IGF-1 axis is essential for short stature cases unresponsive to standard treatment.
  • The true incidence of Laron Syndrome requires further study, and affordable treatment options are needed.
  • IGF-1 therapy is beneficial for Laron Syndrome patients, even in adulthood, for metabolic and protective reasons.