Growth Hormone Responses to Provocative Tests in Children with Short Stature / 전남의대학술지

ABSTRACT

Growth hormone deficiency (GHD) is defined as a serum peak GH concentration 10 ng/mL at 120 min was 75.6% after insulin stimulation compared with 35.1% after L-dopa stimulation. Considering these results, we recommend performing the insulin test first to exclude ISS and then the L-dopa test for the diagnosis of GHD. This way, ISS patients are diagnosed after a single test, thus reducing hospital days and the burden of undergoing two serial tests.