Table 1

Endocrine evaluation of the patient at 14 and 20 years of age

Age (years)
14
20
Skeletal age (years)
10
Closed epiphysis
Weight (kg)
25.7
39.8
Height (m)
1.19
1.41
FSH levels (mIU/ml),
(Basal/peak response to LHRH stimulation)
0.90/4.90
9.27/11.6
LH levels (mIU/ml),
(Basal/peak response to LHRH stimulation)
0.70/9.70
9.57/50.9
Estradiol levels (pg/ml),
(Basal/to LHRH stimulated response)
5/20
31.1/315.0
GH levels (ng/ml),
(Basal/peak response to L-Dopa stimulation, following estradiol priming)
0.93/6.10
-
GH levels (ng/ml),
(Basal/peak response to insulin-induced hypoglycemia when the lowest glucose was 26 mg/dl))
-
0.37/5.18
Overnight GH profile (ng/ml),
(Frequent sampling from 10 00 pm to 10 00 am)
-
0.07/0.12/0.37/0.11/0.05/0.24
IGFBP3(ng/ml)
2941
-
Basal IGF1 (ng/ml)
17.5
50.8
TSH levels (mU/ml),
(Basal/peak response to TRH stimulation)
4.6/14.5
4.57/21.97
Basal FT4 (pmol/l)
16.7
12.71
Cortisol levels (μg/dl)
(Basal/peak response to insulin-induced hypoglycemia)
-
9.9/20.2

Normal values for basal growth hormone (GH): 0 to 7 ng/ml; insulin-like growth factor1 (IGF1), for 12- to 15-year-old girls: 261 to 1096 ng/ml, for 16- to 24-year-old women: 182 to 780 ng/ml; insulin-like growth factor binding protein 3 (IGFBP3), for 7 to 39 year olds: 1250 to 7330 ng/ml; normal GH response to insulin-induced hypoglycemia >5.0 ng/ml; severe GH deficiency in insulin-induced hypoglycemia <3.0 ng/ml; normal GH response to L-Dopa >10 ng/ml.

Dagdelen et al. Journal of Medical Case Reports 2008 2:210   doi:10.1186/1752-1947-2-210