NON-ISLET-CELL TUMOR-ASSOCIATED WITH HYPOGLYCEMIA IN A CHILD - SUCCESSFUL LONG-TERM THERAPY WITH GROWTH-HORMONE

被引:15
作者
AGUS, MSD
KATZ, LEL
SATINSMITH, M
MEADOWS, AT
HINTZ, RL
COHEN, P
机构
[1] UNIV PENN, CHILDRENS HOSP PHILADELPHIA,SCH MED,DEPT PEDIAT, DIV ENDOCRINOL, PHILADELPHIA, PA 19104 USA
[2] HARVARD UNIV, CHILDRENS HOSP, SCH MED, DEPT PEDIAT, BOSTON, MA 02115 USA
[3] STANFORD UNIV, MED CTR, STANFORD, CA 94305 USA
关键词
D O I
10.1016/S0022-3476(95)70071-4
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Hypoglycemia occurred in a 2-year-old girl with neuroblastoma, Initially, growth hormone secretion was suppressed, and she had low levels of insulin-like growth factor (IGF)-I and IGF binding protein-3, but elevated levels of large molecular weight IGF-II, We postulated that the pathogenesis of her hypoglycemia involved production of IGF-II by her neuroblastoma, leading to GH suppression and an abnormally elevated ratio of IGF to IGF binding protein, She was successfully treated with growth hormone; treatment was associated with normalization of the growth hormone-dependent growth factor levels and with euglycemia.
引用
收藏
页码:403 / 407
页数:5
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