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Respiratory deterioration during growth hormone therapy in a case of congenital nemaline myopathy
Authors:K. Logghe  J. M. Wit  F. Jennekens  J. E. H. Pruijs
Affiliation:(1) Department of Paediatrics, Endocrinology Division, University Hospital for Children and Youth "ldquo"Het Wilhelmina Kinderziekenhuis"rdquo", P. O. Box 18009, 3501 CA Utrecht, The Netherlands;(2) Orthopaedic Surgery, University Hospital for Children and Youth "ldquo"Het Wilhelmina Kinderziekenhuis"rdquo", P. O. Box 18009, 3501 CA Utrecht, The Netherlands;(3) Department of Neuromuscular Disease, University Hospital, Utrecht, The Netherlands
Abstract:
Congenital nemaline myopathy (CNM) is generally classified as a non-progressive or slowly progressive neuromuscular disease. We describe a boy with CNM and an isolated partial growth hormone (GH) deficiency. From the onset of GH therapy his respiratory capacity deteriorated rapidly. The possible association between this deterioration and GH therapy is discussed.
Keywords:Nemaline myopathy  Growth hormone therapy  Respiratory failure  Cardiac failure  Mechanical ventilation
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