Henry Rohan K
Section of Endocrinology, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine Columbus, OH, USA.
touchREV Endocrinol. 2022 Nov;18(2):84-85. doi: 10.17925/EE.2022.18.2.84. Epub 2022 Sep 8.
Growth hormone provocation testing forms the cornerstone of the diagnosis of childhood growth hormone deficiency in clinical practice. Despite the widespread use of these tests, various criticisms have been levelled against them, such as the labour-intensive nature of the tests, their potential for serious adverse effects and their questionable reproducibility. Macimorelin acetate, a ghrelin mimetic approved for the diagnosis of adult growth hormone deficiency, could serve an unmet need in the diagnosis of childhood-onset growth hormone deficiency based on its good tolerability and benign side effect profile.
生长激素激发试验是临床实践中儿童生长激素缺乏症诊断的基石。尽管这些试验被广泛使用,但也受到了各种批评,例如试验劳动强度大、有产生严重不良反应的可能性以及重复性存疑。醋酸麦角新碱是一种被批准用于诊断成人生长激素缺乏症的胃饥饿素类似物,基于其良好的耐受性和轻微的副作用,它可能满足儿童期起病的生长激素缺乏症诊断中尚未满足的需求。