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. 2022 Jul 12;17(Suppl 1):261. doi: 10.1186/s13023-022-02423-5
 < 6 years 6–12 years 12–18 years
Pediatric endocrinology consultation /1–3 years without GH /1 year without GH /6 months
/6 months on rhGH /6 months on rhGH
Clinical examination 1x/year /6 months on rhGH (1x/year without rhGH) /6 months on rhGH (1x/year without rhGH)
Measurement of BP 1x/year 1x/year 1x/year
Screening for kyphosis, scoliosis (starting at 8–10 yrs++) 1x/year 1x/year 1x/year
Every 6 months on GH Every 6 months on rhGH Every 6 months on rhGH
Standard and Turner growth curves 1x/year At each visit At each visit
Serum IGF-I determination Start of GH treatment Start of GH treatment
/12 months on rhGH treatment /12 months on rhGH treatment
Serum estradiol, FSH, LH, AMH determinations Check before inducing puberty or 1x/year if puberty is spontaneous
Anti-TPO Ab From the age of 4 years 1x/year
TSH, ± FT4 From the age of 4 years If treating hypo- or hyperthyroidism: TSH, FT4: every 3–12 months
HbA1c > 10 years: 1x/year HbA1C/3 months if diabetic
± blood glucose levels
± fasting insulinemia
± OGTT Before rhGH treatment if glycemia or HbA1c levels moderately high OGTT before rhGH treatment if risk factors and if glycemia or HbA1c levels moderately high
AST, ALT, gamma-GT  > 6 years:
6–10 years 1 × every 2 years
> 10 years: 1x/year
IgA antitransglutaminases, total IgA > 2 years: 1 × every 2 years 1 × every 2 years 1 × every 2 years
Total cholesterol/HDLc/LDLc/Triglycerides  > 10 years: 1 × every 3–4 years 1 × every 3–4 years
Creatininemia, Microalbumin/creatinine in urine If renal malformation or HBP
25(OH)D /2–3 years /2–3 years /2–3 years
Consultation with (pediatric) cardiologist, with cardiac ultrasound Depending on heart disease/condition 1x/year if cardiopathy or HBP
1 × every 5 years: systematically if no risk factors
Systematically before transition to adult care
Aortic and cardiac MRI As advised by the cardiologist As advised by the cardiologist
Thyroid ultrasound If there is dysthyroidism, palpable nodule, and/or goiter
ENT consultation and hearing evaluation 1x/year if recurrent bouts of otitis As advised by ENT, with consultation at least once every 5 years provided there are no risk factors
Ophthalmologic consultation Systematic screening between 12 and 15 months and between 3 and 4 years (as in the general population) Consultation only if necessary: suspicious signs, sensory or motor abnormality, follow-up for strabismus, follow-up of refractive abnormalities, follow-up for organic abnormality
Dermatological consultation As a function of symptoms
Bone age 1 × every 2 to 3 years in case of rhGH treatment
Bone densitometry Check-up at end of the growth period or puberty
Pelvic ultrasound Check-up at end of the growth period or puberty
Dental consultation Annually, with adjustment according to clinical profile Annually, with adjustment according to clinical profile
Consultation with a dietitian If overweight, carbohydrate intolerance, diabetes, dyslipidemia
Supplementation with calcium and vitamin D, if necessary
Screening for behavioral problems Every year, during the clinical evaluation
Psychological consultation Around the age of 4–5 years (before, if there are suspicious signs) Every 5 years, with re-evaluation as a function of symptoms
± Psychometric tests
Therapeutic education Every 1–2 years and as required
Gynecology consultation During puberty induction, then every 2–3 years