Growth failure in focal dermal hypoplasia
| Autor: | Mary Fete, Stephanie Hsu, Sarah Bartz, Laura Pyle, Rebecca A. Ohman-Hanson, Timothy J. Fete, Shanlee M Davis, Kathleen J. Motil |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Male Percentile Pediatrics medicine.medical_specialty Adolescent 030105 genetics & heredity Short stature Article Growth hormone deficiency 03 medical and health sciences Genetics medicine Humans Child Genetics (clinical) Growth Disorders business.industry Genetic disorder Bone age medicine.disease Focal dermal hypoplasia Failure to Thrive Focal Dermal Hypoplasia Malnutrition 030104 developmental biology Phenotype Child Preschool Etiology Female medicine.symptom business |
| Zdroj: | American journal of medical genetics. Part A. 179(4) |
| ISSN: | 1552-4833 |
| Popis: | Focal dermal hypoplasia (FDH) is a rare genetic disorder caused by mutations in the PORCN gene located on the X chromosome. Short stature was previously noted to be a common finding in FDH, however the etiology of this is unclear. The present study sought to elucidate specific causes for short stature by assessing growth charts, determining bone ages and auxologic measurements, examining laboratory data for the common causes of growth failure, assessing dietary intake, and performing a growth hormone stimulation test. Sixteen patients with FDH between the ages of 3 and 18 years of age consented to the study. While 11 out of 16 patients had short stature based on height less than 2 standard deviations below mid-parental target height percentile and bone age not suggestive of likely catch-up growth, only four had a BMI less than the 5th percentile for age. Laboratory studies did not support a gastrointestinal, allergy or autoimmune cause of growth failure. Three patients had results suggestive of possible growth hormone deficiency. Although short stature is a common feature in FDH, our data suggests that severe undernutrition is not common in this group and that there may be underlying treatable causes for this short stature in some patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text