{"id":2129,"date":"2019-07-03T19:51:35","date_gmt":"2019-07-03T19:51:35","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=1696"},"modified":"2026-02-03T19:03:52","modified_gmt":"2026-02-03T19:03:52","slug":"growth-hormone-deficiency","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/growth-hormone-deficiency\/","title":{"rendered":"Criteria to Initiate Evaluation for Growth Hormone Deficiency (GHD)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Tools for the diagnosis of GHD include auxology, radiographic assessment of bone age, measurement of insulin-like growth factor 1 (IGF-I) and IGF binding protein 3 (IGFBP-3), provocative growth hormone (GH) testing, cranial magnetic resonance imaging (MRI), and, in certain cases, genetic testing. Growth velocity and the degree of short stature are primary considerations in the decision to pursue evaluation for GHD.<!--more--><\/p>\n<p><strong>Consensus Statement Criteria to Initiate Evaluation for GHD<\/strong><\/p>\n<ol>\n<li>\u201cSevere\u201d short stature (height &lt; \u22123 SD below mean)<\/li>\n<li>Height &lt; \u22121.5 SD below mid-parental height<\/li>\n<li>Height &lt; \u22122 SD below mean AND either height velocity &lt; \u22121 SD below mean over past year or decrease in height SD of more than 0.5 SD over past year<\/li>\n<li>In the absence of short stature, height velocity &lt; \u22122 SD below mean over 1 year OR &lt; \u22121.5 SD below mean over 2 years<\/li>\n<li>Signs of an intracranial lesion<\/li>\n<li>Signs of multiple pituitary hormone deficiency<\/li>\n<li>Neonatal signs and symptoms of GHD, including hypoglycemia, prolonged jaundice, microphallus, or craniofacial midline abnormalities<\/li>\n<\/ol>\n<p>SD: Standard Deviation<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Chinoy A, Murray PG. Diagnosis of growth hormone deficiency in the paediatric and transitional age.\u00a0Best Pract Res Clin Endocrinol Metab. 2016 Dec;30(6):737-747. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27974187\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Stanley T. Diagnosis of growth hormone deficiency in childhood.\u00a0Curr Opin Endocrinol Diabetes Obes. 2012 Feb;19(1):47-52. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22157400\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Maniatis A, Cutfield W, Dattani M, Deal C, Collett-Solberg PF, Horikawa R, Maghnie M, Miller BS, Polak M, S\u00e4vendahl L, Woelfle J. Long-Acting Growth Hormone Therapy in Pediatric Growth Hormone Deficiency: A Consensus Statement. J Clin Endocrinol Metab. 2025 Mar 17;110(4):e1232-e1240. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39672599\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Jul 01, 2019.<br \/>\nUp-date Feb 3, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[153],"tags":[164,16,15,163,162,161,160,157,156,155,159,158,154],"class_list":["post-2129","post","type-post","status-publish","format-standard","hentry","category-endocrinology-and-metabolism","tag-crecimiento","tag-criteria","tag-criterios","tag-deficiencia","tag-deficiency","tag-evaluacion","tag-evaluation","tag-gh","tag-ghd","tag-growth","tag-hormona","tag-hormone","tag-initiate"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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