Pediatric endocrinology

Noonan Syndrome Growth Charts and Genotypes: 15-Year Longitudinal Single-Centre Study

Horm Res PaediatrPublished Retrospective cohort study

Authors' conclusion

We present longitudinal data describing growth curves and trends, the natural history, and genotypes of the NS population, which provide a useful tool for clinicians in the management of NS.

Study context

Population
Children with Noonan syndrome (NS) followed 2005–2022 at Bambino Gesù Children's Hospital, Italy, without GH treatment; median age 14.01 (IQR 9.05–19.25) years, 55.8% male
Participants
190 children
Exposure
Growth of children with NS vs general Italian population; PTPN11 vs other mutations
Outcome
NS sex-specific centile curves for height, weight, BMI and height velocity
Methodological details15-year longitudinal, single-centre, observational, non-interventional
  • 15-year longitudinal
  • Single-centre
  • Observational
  • Non-interventional

Main finding

As reported in the abstract

  • For both sexes, 50th percentile of height and weight in NS overlapped with the 3rd percentile of the general Italian population

Observational data: associations, not effects.

Further findings

  • Height and weight by genotype: significantly lower height and weight with PTPN11, both sexes

Clinical features and genotypes

Cardiovascular anomalies
85.3%
Pulmonary stenosis
52.6%
Atrial septal defects
36.8%
Cryptorchidism (male participants)
48.1%
PTPN11 mutations
66.3%
SOS1 mutations
13.9%

Cardiac anomalies vs PTPN11 mutation status

No significant associations between cardiac anomalies and PTPN11 mutation status

Original publication

Noonan Syndrome Growth Charts and Genotypes: 15-Year Longitudinal Single-Centre Study. Horm Res Paediatr. Published 22 July 2024. doi:10.1159/000540092

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