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The benefit of rhGH therapy in a Chinese child with 12q14 microdeletion syndrome: a case report

  • Yue Ping , Linyin Luo , Yun Chen , Yihua Ge , Yiping Shen and Hao Zhou EMAIL logo
Published/Copyright: June 8, 2023

Abstract

Objectives

The 12q14 microdeletion syndrome is a rare genetic condition characterized by intrauterine growth restriction, proportionate short stature, failure to thrive, and intellectual disability. Few reports have discussed the therapeutic aspect of patients with 12q14 microdeletion syndrome. Herein, we report the first case of 12q14 microdeletion patient treated with rhGH without growth hormone deficiency.

Case presentation

The patient presented with feeding difficulties during infancy, failure to thrive, intellectual disability and subtle dysmorphic facial features. The patient first visited the clinic at 5 years and 3 months, his height was 91.4 cm (−4.9 SD) and weight 10.0 kg (−2.86 SD). The growth hormone level was within the normal range. Bone radiological testing revealed no significant abnormalities. Genetic analysis identified a 6.97 Mb deletion at the chromosome 12q14.1–q14.3 region in the proband. Recombinant human growth hormone therapy was initiated, which lasted for 12 months, and the new height was 101.0 cm (−4.0 SD) and weight 12.0 kg (−3.6 SD).

Conclusions

This report first showed that patient with 12q14 microdeletion, although without growth hormone deficiency, can benefit from human growth hormone therapy.


Corresponding author: Hao Zhou, Zunyi Medical University, Zunyi, 563000, China; and Department of Neurological Rehabilitation, Guizhou Hospital of Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Guizhou Provincial People’s Hospital, No. 83, Zhongshan Road, Nanming District, Guiyang, 550002, P.R. China, E-mail:
Yue Ping and Linyin Luo contributed equally to this work.

Acknowledgments

We sincerely thank the patients who participated in this study.

  1. Research funding: This project was supported by the National Natural Science Foundation of China (NSFC, 81860280).

  2. Author contributions: HZ conceived of the study. YP and LLY contributed to the analysis, synthesis and wrote the manuscript. YC, YHG contributed to the data collection, YC, YPS, and HZ contributed to revised the manuscript. All authors contributed to the preparation of the manuscript.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The study was approved by the Ethics Committee of the Guizhou provincial people’s hospital.

References

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Supplementary Material

This article contains supplementary material (https://doi.org/10.1515/jpem-2023-0060).


Received: 2023-02-28
Accepted: 2023-05-21
Published Online: 2023-06-08
Published in Print: 2023-08-28

© 2023 Walter de Gruyter GmbH, Berlin/Boston

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