BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 身材矮小/矮小症
  • 生长速度欠佳
  • 矮于遗传靶身高

其他诊断因素

  • 辅助分娩
  • 新生儿期并发症
  • 隐睾/小阴茎
  • 视觉损害

危险因素

  • GHD 的家族史
  • 其他垂体激素缺乏
  • CNS 肿瘤/囊肿
  • 放疗

诊断性检查

首要检查

  • 腕部X 光
  • 甲状腺功能检查 (TFT)
  • IGF1 和 IGFBP3
全部具体信息

需要考虑的检查

  • GH 激发试验
  • 脑部 MRI
  • 脑部 CT/颅骨 X 光
  • 垂体激素完整评估
全部具体信息

治疗流程

贡献者

Ameeta Mehta MBBS, DCH, DNBE, MSc, MRCP, MD

Paediatric Endocrinologist

London

UK

利益冲突披露
AM is an author of several references cited in this monograph.
Mehul T. Dattani MBBS, DCH, FRCPCH, FRCP, MD

Professor of Paediatric Endocrinology

Consultant in Paediatric and Adolescent Endocrinology

Great Ormond Street Hospital for Children and

University College London Hospitals

London

UK

利益冲突披露
MTD is an author of several references cited in this monograph.

Dr Ameeta Mehta and Dr Mehul T. Dattani would like to gratefully acknowledge Kyriaki S. Alatzoglou, a previous contributor to this topic. KSA is an author of several references cited in this monograph.

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Professor of Paediatric Endocrinology (Emeritus)

Department of Endocrinology

William Harvey Research Institute

St Bartholomew's and the Royal London School of Medicine and Dentistry

John Vane Science Centre

London

UK

利益冲突披露
MS has received honoraria and consultancy payments from Ipsen, Pfizer, Novo Nordisk, and Merck Serono.

Professor of Pediatrics

Department of Pediatrics (Endocrinology)

Montefiore Medical Center

Albert Einstein College of Medicine

New York

NY

利益冲突披露
PS declares that he has no competing interests.

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