Growth Hormone Stimulation Tests in Children with Kabuki Syndrome.

Horm Res Paediatr

Department of Paediatrics, Zuyderland Medical Centre, Heerlen, The Netherlands.

Published: April 2017

AI Article Synopsis

  • Kabuki syndrome is linked to various congenital malformations, including postnatal short stature, with an unknown cause for the short stature.
  • A study of 18 children with genetically confirmed Kabuki syndrome revealed that 27.8% of them had biochemical growth hormone (GH) deficiency, but this was not associated with their body mass index (BMI).
  • The results indicate that growth hormone stimulation tests may not be effective in assessing GH status in children with Kabuki syndrome, as IGF-I levels did not correlate with GH peaks or deficiency diagnoses.

Article Abstract

Background/aims: Kabuki syndrome is a multiple congenital malformation syndrome with a variety of clinical features including short stature. The cause of this postnatal short stature remains unknown.

Methods: Eighteen children with genetically proven Kabuki syndrome (8 boys and 10 girls; ages 3.3-9.9 years, with a mean of 6.7 years) who underwent growth hormone (GH) stimulation tests were evaluated in a prospective study. Two GH stimulation tests were conducted, including insulin-like growth factor I (IGF-I) and IGF-binding protein 3 (IGFBP-3) serum levels. GH stimulation peaks in relation to age, sex, height, body mass index (BMI), IGF-I, and IGFBP-3 SD scores (SDS) were analyzed.

Results: Five of the 18 children (27.8%) were biochemically GH deficient. This was not correlated with BMI SDS. Of all patients, only 1 had an IGF-I below -2 SD and did not fulfill the GH deficiency criteria. The mean IGF-I level was below normal (-0.8 SD). All subjects had normal IGFBP-3 levels.

Conclusions: The utility of performing GH stimulation tests on Kabuki syndrome children as an indication of GH status in short stature is questionable. IGF-I levels did correlate neither with the GH stimulation peak nor consequently with the diagnosis of GH deficiency.

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Source
http://dx.doi.org/10.1159/000449221DOI Listing

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