The use of growth hormone in the treatment of extensive burns: a case report

J Koller1, Z Marinov, K Kvalteni

  • 1Ruzinov General Hospital, Bratislava, Slovakia.

Acta Chirurgiae Plasticae
|October 23, 1998
PubMed

Insights

Recombinant human growth hormone aided healing in a severe pediatric burn case. This anabolic hormone promoted recovery, with manageable side effects like mild insulinoresistance.

Area of Science:

  • Endocrinology
  • Regenerative Medicine
  • Pediatric Burn Care

Background:

  • Growth hormone (GH) is a key anabolic hormone influencing cell growth and metabolism.
  • Previous studies suggest GH benefits pediatric burn treatment.
  • Severe burns present significant challenges in patient recovery and healing.

Observation:

  • A 12-year-old boy experienced an extensive electrical arc burn (81% Total Body Surface Area, 60% full thickness).
  • Treatment included recombinant human growth hormone (rhGH) at 0.52 IU/kg/day for 15 days, starting on post-burn day 19.
  • The patient underwent intensive care, surgical procedures (excision and grafting), and supportive therapies.

Findings:

  • rhGH administration was well-tolerated, with only mild insulinoresistance observed.
  • Insulinoresistance was effectively managed by adjusting insulin dosage in glucose solutions.
  • The majority of the patient's burns healed within 56 days of intensive care.

Implications:

  • This case highlights the potential of rhGH as an adjunctive therapy for severe pediatric burns.
  • GH treatment may improve healing outcomes and reduce recovery time in critically burned children.
  • Further research is warranted to establish optimal rhGH dosing and long-term effects in pediatric burn patients.

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