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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1987-5-8
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pubmed:abstractText |
After completion of treatment with growth hormone (GH) 19 patients with isolated 'idiopathic' GH deficiency and 15 with post-irradiation GH deficiency underwent retesting of GH secretion with an insulin tolerance test or an arginine stimulation test, or both. Patients with post-irradiation GH deficiency comprised 13 patients with central nervous system tumours distant from the hypothalamo-pituitary axis and two with acute lymphoblastic leukaemia, who had received cranial or craniospinal irradiation. All 15 patients with post-irradiation GH deficiency remained GH deficient (peak GH response less than 7 mU/l (n = 10) and 7-15 mU/l (n = 5)). Of the 19 retested patients with idiopathic GH deficiency, however, five (26%) had peak GH responses of greater than 15 mU/l (regarded now as transient or false idiopathic GH deficiency) and were indistinguishable from the remainder (permanent or true idiopathic GH deficiency, peak GH responses less than 7 mU/l (n = 12) and 7-15 mU/l (n = 2)), by pretreatment anthropometry and post-treatment height standard deviation score, but had a lower first year height velocity (mean (SD) velocity 5.6 (0.5) cm/year for false idiopathic deficiency v 8.7 (1.75) cm/year for true idiopathic deficiency, p less than 0.01) and height increment on treatment (mean (SD) increment 2.2 (1.5) cm/year for false idiopathic deficiency v 5.2 (2.3) cm/year for true idiopathic deficiency, p less than 0.05). By current practices two patients with false idiopathic deficiency may have been distinguished by sex steroid priming. Thus post-irradiation GH deficiency seems to be permanent, but errors in diagnosis in idiopathic GH deficiency are common.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-221628,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-229995,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-263308,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-4015164,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-4062345,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-5008234,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-5288779,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-576178,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-6363657,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-6696487,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-6708271,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3566314-849990
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
1468-2044
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
62
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
222-6
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pubmed:dateRevised |
2009-11-18
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pubmed:meshHeading |
pubmed-meshheading:3566314-Adolescent,
pubmed-meshheading:3566314-Child,
pubmed-meshheading:3566314-Female,
pubmed-meshheading:3566314-Growth Disorders,
pubmed-meshheading:3566314-Growth Hormone,
pubmed-meshheading:3566314-Humans,
pubmed-meshheading:3566314-Male,
pubmed-meshheading:3566314-Radiotherapy
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pubmed:year |
1987
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pubmed:articleTitle |
Growth hormone state after completion of treatment with growth hormone.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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