Growth failure in children with cystic fibrosis
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Alessandra Scaparrotta
, Sabrina Di Pillo
Abstract
Poor linear growth and inadequate weight gain are very common problems in cystic fibrosis (CF) children. The most important factors involved in growth failure are undernutrition or malnutrition, chronic inflammation, lung disease, and corticosteroid treatment. Nutritional support and pharmacological therapy with recombinant human growth hormone are essential for a good management of children with CF, although these children are shorter and lighter than healthy children, and despite the catch-up growth observed after diagnosis, deficit in length/height and weight continues to be seen until adulthood. Early diagnosis is essential to ensure better nutritional status and growth, potentially associated with better respiratory function and prognosis. The aims of this review are try to explain etiology and pathogenetic mechanisms of growth failure in CF children and clarify their role in the disease morbidity and in clinical outcome, especially in relation to progressive decline of pulmonary function.
©2012 by Walter de Gruyter Berlin Boston
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Artikel in diesem Heft
- Masthead
- Masthead
- Reviews
- Growth failure in children with cystic fibrosis
- Approach to the management of slipped capital femoral epiphysis and primary hyperparathyroidism
- Original Articles
- Thyroid developmental anomalies among first-degree relatives of children with thyroid dysgenesis and congenital hypothyroidism
- TSHR is the main causative locus in autosomal recessively inherited thyroid dysgenesis
- When to operate on ovarian cysts in children?
- Partial anomalous pulmonary venous return is common in Turner syndrome
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- Ovarian and uterine ultrasonography and relation to puberty in healthy girls between 6 and 16 years in the Turkish population: a cross-sectional study
- Assessment of gonadal function in boys and adolescents at the diagnosis of neoplastic disease
- Environmental and genetic factors influence age at menarche in women with polycystic ovary syndrome
- Vitamin D status in children with Hashimoto thyroiditis
- Non-invasive measurement of adrenal response after standardized exercise tests in prepubertal children
- Bone metabolism biomarkers, body weight, and bone age in healthy Brazilian male adolescents
- Safety and efficacy of a 1-year treatment with zoledronic acid compared with pamidronate in children with osteogenesis imperfecta
- Evaluation and comparison of safety, convenience and cost of administering intravenous pamidronate infusions to children in the home and ambulatory care settings
- Clinical profile and etiologies of children with central diabetes insipidus: a single-center experience from Turkey
- Audiologic evaluation in pediatric patients with type 1 diabetes mellitus
- An after-school dance and lifestyle education program reduces risk factors for heart disease and diabetes in elementary school children
- Evaluation of neutrophil gelatinase-associated lipocalin in normoalbuminuric normotensive type 1 diabetic adolescents
- The association of serum lipocalin-2 levels with metabolic and clinical parameters in obese children: a pilot study
- Metabolic disorders in vertically HIV-infected children: future adults at risk for cardiovascular disease
- Ghrelin and growth hormone secretagogue receptor (GHSR) genes are not commonly involved in growth or weight abnormalities in an Israeli pediatric population
- Patient Reports
- Splenogonadal fusion and sex reversal
- The earlier described mutation (c.307C>T [p.R103X]) in the SRD5A2 gene causing a 46,XY female phenotype
- Sertoli cell tumor and intratubular germ cell neoplasia located in separate gonads in an adolescent patient with complete androgen insensitivity: a case report and review of literature
- Seizure due to somatostatin analog discontinuation in a case diagnosed as congenital hyperinsulinism novel mutation
- Simultaneous onset and similar course of type 1 diabetes mellitus in monozygotic twins (a 4-year follow-up)
- 17β-Hydroxysteroid dehydrogenase type 3 deficiency as a result of a homozygous 7 base pair deletion in 17βHSD3 gene
- Clinical and image-guided chorioretinal findings in long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency
- Influence of HLA DQ 2/8 genotypes in predisposing type 1 diabetes in siblings of a Saudi family with paternally inherited chromosomal translocations
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- Type 2 diabetes mellitus in a young girl: ominous presentation and atypical course
- Marked increase of final height by long-term aromatase inhibition in a boy with idiopathic short stature
- A case of Rabson-Mendenhall syndrome with a novel mutation in the tyrosine kinase domain of the insulin receptor gene complicated by medullary sponge kidney
- Persistent hyperinsulinemic hypoglycemia of infancy
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- A case of congenital hypothyroidism in PHACE syndrome
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- Letters to the Editor
- Authors’ reply to “The appropriate use of sensitive tests of hypothalamic-pituitary-adrenal axis suppression”
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- Meetings
- Meetings Calendar