Neonatal | < 6 years | 6–12 years | 12–18 years | Adult | |
---|---|---|---|---|---|
Detailed clinical examination, BP, screening for strabismus, kyphosis, scoliosis | X | X | X | X | X |
Standard and Turner growth curves | X | X | X | X | |
FSH ± LH ± estradiol ± AMH |
X FSH, LH |
X FSH, LH |
X E2, FSH, LH, AMH |
X E2, FSH, LH, AMH |
X E2, FSH, LH, AMH |
TSH, ± FT4 | > 4 years | X | X | X | |
Anti-TPO antibodies | > 4 years | X | X | X | |
HbA1c ± fasting blood glucose | X (> 10 years) | X | X | ||
± fasting insulin (HOMA) | |||||
± OGTT | Before rhGH treatment if blood glucose and/or HbA1c levels are high | Before rhGH treatment if blood glucose and/or HbA1c levels are high | Before rhGH treatment if blood glucose and/or HbA1c levels are high | ||
AST, ALT, Gamma-GT, alkaline phosphatase |
X > 6 years |
X | X | ||
IgA antitransglutaminases |
X (> 2 years) |
X | X |
X As a function of symptoms |
|
IgA total | |||||
Blood creatinine microalbumin/creatinine in urine | If renal malformation | If renal malformation or HT | If renal malformation or HT | If renal malformation or HT | If renal malformation or HT |
Total cholesterol/HDLc/LDLc/triglycerides | X | X | |||
CBC | X | X | X | ||
25(OH)D | X | X | X | X | |
Thrombophilia panel | Before estrogen/estrogen-progesterone treatments if there are thromboembolic risk factors (in first-degree relative) | Before estrogen/estrogen-progesterone treatments if there are thromboembolic risk factors (in first-degree relative) | |||
Cardiology consultation | X | X | X | X | X |
Echocardiogram | X | X | X | X | X |
Electrocardiogram | X | X | X | X | X |
Aortic and cardiac MRI | As advised by the cardiologist | As advised by the cardiologist | As advised by the cardiologist | As advised by the cardiologist | |
Renal ultrasound | X | X | X | X | X |
Thyroid ultrasound | If dysthyroidism or nodule | If dysthyroidism or nodule | If dysthyroidism or nodule | If dysthyroidism or nodule | |
Bone age | X | X | X | ||
Pelvic ultrasound | After puberty | X | |||
Bone densitometry | After puberty | X | |||
ENT consultation and hearing assessment (adapted to age) | X | X | X | X | |
Ophthalmologic consultation | If suspicious signs | 12–15 months and 3–4 yrs | If sensory or motor abnormality | If sensory or motor abnormality | If sensory or motor abnormality |
Dental consultation ± panoramic X ray of dentition | If there is a clinical abnormality | X | X | X | |
Consultation with a dietitian | If overweight, carbohydrate intolerance, diabetes, dyslipidemia | ||||
Psychological consultation ± psychometric tests |
Parents, if necessary | X | X | X | X |
Therapeutic education | Parents, if necessary | X | X | X | X |