Three elderly IGHD individuals, homozygous for the c.57+1G>A GHRHR mutation. The man (photograph on the left), 123 cm tall (48.4 inches), died at age 94. At the age of 89 years, he suffered traumatic brain injury riding a horse without a harness to aid a cow in labor. Beside him, his sister (photograph in the middle), 116 cm (45.6 inches) tall, died at age 103. Both did not exhibit kyphosis or gray hair, and they died due to natural causes. The other woman (photograph on the right), 107 cm tall (42.1 inches), died at age 65, probably due to stroke. The author M.H.A.-O., who is 174 cm (68.5 inches) tall, is the normal control.