Long term treatment with growth hormone has no clear cut benefit in large
proportions of patients treated for so called idiopathicisolated
growth hormone deficiency. Carel and colleagues (p
70)present data from 2852 French children diagnosed and treated
forisolated growth hormone deficiency. The effect of growth hormoneis unclear, they say, and most patients diagnosed as having growthhormone deficiency actually have pubertal delay and a spontaneousgrowth potential. An editorial by Saenger (p
58) highlights thedifficulties in diagnosing and treating growth
hormone deficiency.
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