Morris H G, Jorgensen J R, Jenkins S A
J Clin Invest. 1968 Mar;47(3):427-35. doi: 10.1172/JCI105739.
Endogenous plasma growth hormone concentrations were measured in 23 children who were receiving daily corticosteroid therapy and in 10 control asthmatic children who had not received steroids for at least 8 months. The growth hormone concentrations were similar in the two groups of patients both during the fasting state and after insulin-induced hypoglycemia. 12 children, who were studied while receiving a large dose of prednisone and again 2 wk after steroid withdrawal, also showed no change in growth hormone concentration in relation to corticosteroid therapy. These findings suggest that deficiency of growth hormone is not the major mechanism responsible for the dwarfism of corticosteroid-treated children.
对23名正在接受每日皮质类固醇治疗的儿童以及10名至少8个月未接受类固醇治疗的对照哮喘儿童测量了内源性血浆生长激素浓度。两组患者在空腹状态和胰岛素诱导的低血糖后生长激素浓度相似。12名在接受大剂量泼尼松治疗时以及停药2周后再次接受研究的儿童,其生长激素浓度也未显示出与皮质类固醇治疗相关的变化。这些发现表明,生长激素缺乏不是皮质类固醇治疗儿童侏儒症的主要机制。