Pediatric endocrinology

Efficacy and Safety of Three‐Years Growth Hormone Treatment in Girls With Turner Syndrome and Growth Hormone Deficiency: A Case‐Control Study

Clin Endocrinol (Oxf)Published Case-control study

Authors' conclusion

In conclusion, GH treatment in both TS and GHD girls is an effective, safe treatment for short stature, improving both height and growth rate, especially during the first year of treatment. Moreover, although growth outcomes were significantly better in GHD girls in the first year of treatment, over time no significant differences were observed between TS and GHD girls.

Study context

Population
Girls with turner syndrome (TS) or isolated idiopathic GH deficiency (GHD) treated with growth hormone (GH) for at least 36 months, age range 4.17–10.42 years
Participants
20 participants
Comparison
3-year GH treatment in TS vs GHD girls
  • TSn = 10
  • GHDn = 10reference
Outcome
Growth outcome and safety of GH treatment
Follow-up
3 years
Methodological detailsmatched for age, Growth parameters, glycemic profile and IGF-1 collected every 6 months
  • Matched for age
  • Growth parameters, glycemic profile and IGF-1 collected every 6 months

Main finding

As reported in the abstract

Height increase (SDS), TS vs GHD · 6 and 12 months
  • TS girls showed a lower height and a lower height increase throughout the study; significant only after 6 and 12 months
  • TS vs GHD: P = 0.045
  • TS vs GHD: P = 0.034

Observational data: associations, not effects.

Further findings

Height, weight and growth rate vs baseline · 3 years

Significant improvement in both TS and GHD after 3 years (p ≤ 0.01), evident after 6 months (p ≤ 0.016)

Height increase between time points

Both groups: significant increase 12 vs 6 months (p ≤ 0.008) and 24 vs 12 months (p ≤ 0.031)
Only GHD: significant increase 36 vs 30 months (p = 0.035)

Safety

Adverse events during 3-year GH treatment

Treatment was well tolerated; most frequent adverse event was autoimmune thyroiditis (two TS girls)
10%
Transient hypertransaminasemia, one TS girl
5%
Transient hypercholesterolemia, one GHD girl
5%
No hyperglycemia occurred throughout the treatment

Original publication

Efficacy and Safety of Three‐Years Growth Hormone Treatment in Girls With Turner Syndrome and Growth Hormone Deficiency: A Case‐Control Study. Clin Endocrinol (Oxf). Published 22 May 2025. doi:10.1111/cen.15276

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