Severe Short Stature in an Adolescent Male with Prader-Willi Syndrome and Congenital Adrenal Hyperplasia: A Therapeutic Conundrum

Congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency results in excess androgen production which can lead to early epiphyseal fusion and short stature. Prader-Willi syndrome (PWS) is a genetic disorder resulting from a defect on chromosome 15 due to paternal deletion, maternal unipa...

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Main Authors: Meredith Wasserman, Erin M. Mulvihill, Angela Ganan-Soto, Serife Uysal, Jose Bernardo Quintos
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2017/4271978
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author Meredith Wasserman
Erin M. Mulvihill
Angela Ganan-Soto
Serife Uysal
Jose Bernardo Quintos
author_facet Meredith Wasserman
Erin M. Mulvihill
Angela Ganan-Soto
Serife Uysal
Jose Bernardo Quintos
author_sort Meredith Wasserman
collection DOAJ
description Congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency results in excess androgen production which can lead to early epiphyseal fusion and short stature. Prader-Willi syndrome (PWS) is a genetic disorder resulting from a defect on chromosome 15 due to paternal deletion, maternal uniparental disomy, or imprinting defect. Ninety percent of patients with PWS have short stature. In this article we report a patient with simple-virilizing CAH and PWS who was overtreated with glucocorticoids for CAH and not supplemented with growth hormone for PWS, resulting in a significantly short adult height.
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publishDate 2017-01-01
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series Case Reports in Endocrinology
spelling doaj-art-ec66a9e6efdc4e89b4c7b3f3089209d82025-02-03T05:44:47ZengWileyCase Reports in Endocrinology2090-65012090-651X2017-01-01201710.1155/2017/42719784271978Severe Short Stature in an Adolescent Male with Prader-Willi Syndrome and Congenital Adrenal Hyperplasia: A Therapeutic ConundrumMeredith Wasserman0Erin M. Mulvihill1Angela Ganan-Soto2Serife Uysal3Jose Bernardo Quintos4The Warren Alpert Medical School, Brown University, Providence, RI, USACollege of Human Ecology, Cornell University, Ithaca, NY, USAAlexian Brothers Women and Children’s Hospital and Amita Health Medical Group, Hoffman Estates, IL, USADivision of Pediatric Endocrinology, Rhode Island Hospital and Hasbro Children’s Hospital, The Warren Alpert Medical School, Brown University, Providence, RI, USADivision of Pediatric Endocrinology, Rhode Island Hospital and Hasbro Children’s Hospital, The Warren Alpert Medical School, Brown University, Providence, RI, USACongenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency results in excess androgen production which can lead to early epiphyseal fusion and short stature. Prader-Willi syndrome (PWS) is a genetic disorder resulting from a defect on chromosome 15 due to paternal deletion, maternal uniparental disomy, or imprinting defect. Ninety percent of patients with PWS have short stature. In this article we report a patient with simple-virilizing CAH and PWS who was overtreated with glucocorticoids for CAH and not supplemented with growth hormone for PWS, resulting in a significantly short adult height.http://dx.doi.org/10.1155/2017/4271978
spellingShingle Meredith Wasserman
Erin M. Mulvihill
Angela Ganan-Soto
Serife Uysal
Jose Bernardo Quintos
Severe Short Stature in an Adolescent Male with Prader-Willi Syndrome and Congenital Adrenal Hyperplasia: A Therapeutic Conundrum
Case Reports in Endocrinology
title Severe Short Stature in an Adolescent Male with Prader-Willi Syndrome and Congenital Adrenal Hyperplasia: A Therapeutic Conundrum
title_full Severe Short Stature in an Adolescent Male with Prader-Willi Syndrome and Congenital Adrenal Hyperplasia: A Therapeutic Conundrum
title_fullStr Severe Short Stature in an Adolescent Male with Prader-Willi Syndrome and Congenital Adrenal Hyperplasia: A Therapeutic Conundrum
title_full_unstemmed Severe Short Stature in an Adolescent Male with Prader-Willi Syndrome and Congenital Adrenal Hyperplasia: A Therapeutic Conundrum
title_short Severe Short Stature in an Adolescent Male with Prader-Willi Syndrome and Congenital Adrenal Hyperplasia: A Therapeutic Conundrum
title_sort severe short stature in an adolescent male with prader willi syndrome and congenital adrenal hyperplasia a therapeutic conundrum
url http://dx.doi.org/10.1155/2017/4271978
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