Growth hormone deficiency in a case of septo-optic-dysplasia due to mutation: should we re-test patients during the transition period?

BMJ Case Rep

Division of Endocrinology, Diabetes and Metabolism, Department of Medical Science, University of Turin, Turin, Piedmont, Italy.

Published: December 2022

Gene mutations encoding transcription factors, including , have been associated with growth hormone deficiency (GHD) and abnormal pituitary development. Guidelines on GHD management in the transition period state that patients with genetic-based childhood-onset GHD can skip retesting due to a high likelihood of permanent GHD. We describe a case of septo-optic-dysplasia due to mutation characterised by childhood-onset GHD, which showed a normal somatotropic function at the transition period. This case raises the opportunity to retest for GHD during the transition period, even in patients with a known genetic cause, in order to avoid inappropriate GH treatment.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9806035PMC
http://dx.doi.org/10.1136/bcr-2022-251897DOI Listing

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