确定永久生长激素缺乏的患者相关预测因素
Veronica Mericq1, German Iñiguez1, Graziella Pinto2
1Institute of Maternal and Child Research, School of Medicine, University of Chile, Santiago, Chile.
Frontiers in endocrinology
|October 26, 2023
概括
确定了成年人永久生长激素缺乏症 (GHD) 的预测因素. 诊断时身高低于 -3 SDS 和异常的垂体MRI 强烈预测持续的 GHD,指导治疗决策.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 成人内分泌学 成人内分泌学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 儿童生长激素缺乏 (GHD) 可能会持续到成年.
- 在过渡期内重新评估对于确定是否需要继续增长激素治疗至关重要.
研究的目的:
- 在儿童时期诊断的患者中确定永久性GHD的预测因子.
- 根据成年期持续增长激素治疗的临床决策.
主要方法:
- 追溯单一中心研究涉及101名患有童年发病的GHD.患者.
- 收集的数据包括诊断时和随访期间的耳道学,临床,实验室和MRI发现.
- 使用多变量分析来确定持续性GHD的最佳预测模型.
主要成果:
- 患有持续性GHD的患者在诊断时具有较低的身高SDS和GH峰值,并在成年人身高时具有较低的IGF1和较高的BMISDS.
- 诊断时身高SDS<-3与持续性GHD风险增加7.7倍有关.
- 异常的垂体MRI发现是最强的预测因素,在多变量调整后,持续性GHD的风险增加了7.2倍,高达10.6倍.
结论:
- 诊断时身高<-3 SDS和垂体MRI异常是怀疑持续性GHD的关键指标.
- 这些发现有助于识别可能受益于成年期持续生长激素治疗的个人.
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