Schober E, Frisch H
University Children's Hospital, Vienna, Austria.
Eur J Pediatr. 1995 Feb;154(2):109-11. doi: 10.1007/BF01991911.
A 15-year-old boy with achalasia of the oesophagus is described in whom growth retardation was the presenting and misleading symptom. Growth hormone (GH) and insulin-like growth factor-I secretion were decreased but GH therapy was unsuccessful. After pneumatic dilatation of the oesophageal sphincter catch up growth occurred.
In children with inconclusive results of GH stimulation tests and unresponsiveness to GH treatment, rare causes of growth retardation due to malnutrition or malabsorption should be considered.
本文描述了一名患有食管失弛缓症的15岁男孩，生长发育迟缓是其首发且具有误导性的症状。生长激素（GH）和胰岛素样生长因子-I分泌减少，但GH治疗未成功。食管括约肌气囊扩张术后出现追赶生长。
对于生长激素刺激试验结果不明确且对生长激素治疗无反应的儿童，应考虑因营养不良或吸收不良导致生长发育迟缓的罕见原因。
