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      Growth hormone therapy in short-stature patients with kyphoscoliosis: a literature review

      review-article
      1 ,
      EFORT Open Reviews
      Bioscientifica Ltd
      growth hormone, kyphoscoliosis, adverse events and safety

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          Abstract

          • The aim of the study was to conduct a literature review on growth hormone therapy in short-stature patients with kyphoscoliosis.

          • The search strategy was performed in which all the relevant papers published in 20 years were included on Pub Med, Central, and Google scholar by using keywords short stature, growth hormones, adverse events of growth hormones in kyphoscoliosis, safety.

          • The study investigation supports the idea that giving human growth hormone (HGH) to a diverse population of short-statured children does not enhance the occurrence of scoliosis.

          • Patients on HGH therapy for progressing scoliosis had syndromes in which scoliosis was more prevalent in an age-matched group. Short stature attributed to progressive growth failure is prevalent in all mucopolysaccharidosis (MPS) disorders, as per the existing research on growth and growth hormone in MPS.

          • MPS should be explored in children who are being tested for short stature since growth failure might be the presenting symptom.

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          Most cited references71

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          Cord-blood transplants from unrelated donors in patients with Hurler's syndrome.

          Hurler's syndrome (the most severe form of mucopolysaccharidosis type I) causes progressive deterioration of the central nervous system and death in childhood. Allogeneic bone marrow transplantation before the age of two years halts disease progression and prolongs life, but many children lack a bone marrow donor. We investigated the feasibility of using cord-blood transplants from unrelated donors and a myeloablative preparative regimen that did not involve total-body irradiation in young children with Hurler's syndrome. Between December 1995 and October 2002, 20 consecutive children with Hurler's syndrome received busulfan, cyclophosphamide, and antithymocyte globulin before receiving cord-blood transplants from unrelated donors. The children were subsequently evaluated for engraftment, adverse effects, and effects on disease symptoms. Cord-blood donors had normal alpha-L-iduronidase activity (mean number of cells, 10.53x10(7) per kilogram of body weight) and were discordant for up to three of six HLA markers. Neutrophil engraftment occurred a median of 24 days after transplantation. Five patients had grade II or grade III acute graft-versus-host disease; none had extensive chronic graft-versus-host disease. Seventeen of the 20 children were alive a median of 905 days after transplantation, with complete donor chimerism and normal peripheral-blood alpha-L-iduronidase activity (event-free survival rate, 85 percent). Transplantation improved neurocognitive performance and decreased somatic features of Hurler's syndrome. Cord blood from unrelated donors appears to be an excellent source of stem cells for transplantation in patients with Hurler's syndrome. Sustained engraftment can be achieved without total-body irradiation. Cord-blood transplantation favorably altered the natural history of Hurler's syndrome and thus may be important to consider in young children with this form of the disease. Copyright 2004 Massachusetts Medical Society
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            Online Mendelian Inheritance in Man (OMIM).

            Online Mendelian Inheritance In Man (OMIM) is a public database of bibliographic information about human genes and genetic disorders. Begun by Dr. Victor McKusick as the authoritative reference Mendelian Inheritance in Man, it is now distributed electronically by the National Center for Biotechnology Information (NCBI). Material in OMIM is derived from the biomedical literature and is written by Dr. McKusick and his colleagues at Johns Hopkins University and elsewhere. Each OMIM entry has a full text summary of a genetic phenotype and/or gene and has copious links to other genetic resources such as DNA and protein sequence, PubMed references, mutation databases, approved gene nomenclature, and more. In addition, NCBI's neighboring feature allows users to identify related articles from PubMed selected on the basis of key words in the OMIM entry. Through its many features, OMIM is increasingly becoming a major gateway for clinicians, students, and basic researchers to the ever-growing literature and resources of human genetics. Copyright 2000 Wiley-Liss, Inc.
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              Association of prepubertal body composition in healthy girls and boys with the timing of early and late pubertal markers.

              It is controversial whether prepubertal body composition is implicated in the timing of puberty onset. The objective was to investigate whether body composition in the 2 y preceding the start of the pubertal growth spurt -- a marker of puberty onset -- is associated with the attainment of early and late pubertal markers in healthy German boys and girls. Multivariate-adjusted regression analyses were performed in 215 participants of the DOrtmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study for whom body mass index (BMI) and its components fat mass/height(2) (FM/m(2)) and fat-free mass/height(2) (FFM/m(2)) 1 and 2 y before the onset of the pubertal growth spurt (age at takeoff; ATO) and information on early life exposures were available. In addition, age at peak height velocity (APHV) and menarche were examined. Higher BMIs and FM/m(2) z scores 1 and 2 y before ATO showed modest associations with chronological age at ATO among girls only (girls: P for = trend 0.05-0.1, adjusted for early life factors; boys: P = 0.2-0.6). FFM/m(2) z scores were not related to age at ATO (P for trend = 0.5-0.8). Conversely, prepubertal BMI and FM/m(2) more clearly predicted APHV and puberty duration (APHV minus ATO) in both sexes and age at menarche in girls (girls: adjusted P for trend <0.0001-0.03; boys: P = 0.01-0.046). This longitudinal study suggests that prepubertal body composition in healthy boys and girls may not be critical for the initiation of the pubertal growth spurt but instead affects the progression of pubertal development, which results in earlier attainment of later pubertal stages.
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                Author and article information

                Journal
                EFORT Open Rev
                EFORT Open Rev
                eor
                EFORT Open Reviews
                Bioscientifica Ltd (Bristol )
                2058-5241
                17 March 2022
                01 March 2022
                : 7
                : 3
                : 240-246
                Affiliations
                [1 ]Internal Medicine Department , College of Medicine, Qassim University, Buraydah, Saudi Arabia
                Author notes
                Correspondence should be addressed to M S Alharbi; Email: alshoola@ 123456hotmail.com
                Article
                EOR-21-0116
                10.1530/EOR-21-0116
                8965197
                35298397
                a75a1c8e-2767-4ecd-8973-a586fdb2512c
                © The authors

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                Categories
                Spine
                spine, Spine
                Growth Hormone
                Kyphoscoliosis
                Adverse Events and Safety
                Custom metadata
                spine

                growth hormone,kyphoscoliosis,adverse events and safety

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