Abstract
The growth pattern of 66 patients (50 males, 16 females) with isolated gonadotrophin deficiency (IGnD), who had reached their final height with epiphyseal closure, was evaluated. For the purpose of analysis the males were divided into two groups according to age at referral: group 1 less than 16 years (n = 23) and group 2 greater than or equal to 16 years (n = 27). Sex hormone treatment was initiated at a mean (SD) chronological age of 15.8 (1.3) and 18.6 (1.2) years in groups 1 and 2 in the males and at 15.3 (1.3) years in the females. The duration of treatment (until epiphyseal closure) in the males was 3.9 (1.5) years in group 1 and 2.1 (1.0) years in group 2 and 2.8 (1.3) years in the females. There was no significant difference between the mean final height in groups 1 and 2, but it was significantly higher than the mean parental height (mean height SD score (HtSDS): 0.1 (1.1) v -0.8 (0.9)) and they were significantly correlated. For females the mean HtSDS compared with parental height was 0.4 (1.5) v -0.6 (1.2). It is concluded that the timing of induction of puberty by sex hormones in males and females with IGnD has no significant effect on final height provided that moderate doses are used. Furthermore final height was significantly correlated to mid-parental height.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bourguignon J. P., Vanderschueren-Lodeweyckx M., Wolter R., Malvaux P., Craen M., Du Caju M. V., Ernould C., Franchimont P. Hypopituitarism and idiopathic delayed puberty: a longitudinal study in an attempt to diagnose gonadotropin deficiency before puberty. J Clin Endocrinol Metab. 1982 Apr;54(4):733–744. doi: 10.1210/jcem-54-4-733. [DOI] [PubMed] [Google Scholar]
- Bourguignon J. P. Variations in duration of pubertal growth: a mechanism compensating for differences in timing of puberty and minimizing their effects on final height. Belgian Study Group for Paediatric Endocrinology. Acta Paediatr Scand Suppl. 1988;347:16–24. [PubMed] [Google Scholar]
- Buckler J. M., Wild J. Longitudinal study of height and weight at adolescence. Arch Dis Child. 1987 Dec;62(12):1224–1232. doi: 10.1136/adc.62.12.1224. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cara J. F., Rosenfield R. L., Furlanetto R. W. A longitudinal study of the relationship of plasma somatomedin-C concentration to the pubertal growth spurt. Am J Dis Child. 1987 May;141(5):562–564. doi: 10.1001/archpedi.1987.04460050104041. [DOI] [PubMed] [Google Scholar]
- Copeland K. C., Paunier L., Sizonenko P. C. The secretion of adrenal androgens and growth patterns of patients with hypogonadotropic hypogonadism and isiopathic delayed puberty. J Pediatr. 1977 Dec;91(6):985–990. doi: 10.1016/s0022-3476(77)80912-8. [DOI] [PubMed] [Google Scholar]
- Cutler G. B., Jr, Cassorla F. G., Ross J. L., Pescovitz O. H., Barnes K. M., Comite F., Feuillan P. P., Laue L., Foster C. M., Kenigsberg D. Pubertal growth: physiology and pathophysiology. Recent Prog Horm Res. 1986;42:443–470. doi: 10.1016/b978-0-12-571142-5.50014-8. [DOI] [PubMed] [Google Scholar]
- Dickerman Z., Prager-Lewin R., Laron Z. The effect of repeated injections of synthetic luteinizing hormone-releasing hormone on the response of plasma luteinizing hormone and follicle-stimulating hormone in young hypogonadotropic-hypogonadal patients. Fertil Steril. 1976 Feb;27(2):162–166. doi: 10.1016/s0015-0282(16)41655-9. [DOI] [PubMed] [Google Scholar]
- Hindmarsh P., Smith P. J., Brook C. G., Matthews D. R. The relationship between height velocity and growth hormone secretion in short prepubertal children. Clin Endocrinol (Oxf) 1987 Nov;27(5):581–591. doi: 10.1111/j.1365-2265.1987.tb01188.x. [DOI] [PubMed] [Google Scholar]
- Hochman I. H., Laron Z. The effect of methandrostenolone on pituitary growth hormone secretion. Horm Metab Res. 1970 Sep;2(5):260–264. doi: 10.1055/s-0028-1095085. [DOI] [PubMed] [Google Scholar]
- Kaushanski A., Laron Z. Growth pattern of boys with isolated gonadotropin deficiency. Isr J Med Sci. 1979 Jun;15(6):518–521. [PubMed] [Google Scholar]
- Martin L. G., Grossman M. S., Connor T. B., Levitsky L. L., Clark J. W., Camitta F. D. Effect of androgen on growth hormone secretion and growth in boys with short stature. Acta Endocrinol (Copenh) 1979 Jun;91(2):201–212. doi: 10.1530/acta.0.0910201. [DOI] [PubMed] [Google Scholar]
- Moll G. W., Jr, Rosenfield R. L., Fang V. S. Administration of low-dose estrogen rapidly and directly stimulates growth hormone production. Am J Dis Child. 1986 Feb;140(2):124–127. doi: 10.1001/archpedi.1986.02140160042027. [DOI] [PubMed] [Google Scholar]
- Pescovitz O. H. The endocrinology of the pubertal growth spurt. Acta Paediatr Scand Suppl. 1990;367:119–125. doi: 10.1111/j.1651-2227.1990.tb11646.x. [DOI] [PubMed] [Google Scholar]
- Rosenfield R. I., Furlanetto R., Bock D. Relationship of somatomedin-C concentrations to pubertal changes. J Pediatr. 1983 Nov;103(5):723–728. doi: 10.1016/s0022-3476(83)80465-x. [DOI] [PubMed] [Google Scholar]
- Rosenfield R. L., Furlanetto R. Physiologic testosterone or estradiol induction of puberty increases plasma somatomedin-C. J Pediatr. 1985 Sep;107(3):415–417. doi: 10.1016/s0022-3476(85)80522-9. [DOI] [PubMed] [Google Scholar]
- Silbergeld A., Lazar L., Erster B., Keret R., Tepper R., Laron Z. Serum growth hormone binding protein activity in healthy neonates, children and young adults: correlation with age, height and weight. Clin Endocrinol (Oxf) 1989 Sep;31(3):295–303. doi: 10.1111/j.1365-2265.1989.tb01253.x. [DOI] [PubMed] [Google Scholar]
- Tanner J. M., Whitehouse R. H., Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. II. Arch Dis Child. 1966 Dec;41(220):613–635. doi: 10.1136/adc.41.220.613. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Van Dop C., Burstein S., Conte F. A., Grumbach M. M. Isolated gonadotropin deficiency in boys: clinical characteristics and growth. J Pediatr. 1987 Nov;111(5):684–692. doi: 10.1016/s0022-3476(87)80243-3. [DOI] [PubMed] [Google Scholar]