Pituitary Dwarfism

Question 1

Pituitary Dwarfism has a deficiency in ___

Answer 1

growth hormone

Question 2

pituitary dwarfism is caused by

Answer 2

deficiency in GH from anterior pituitary or panhypopituitarusm

Question 3

Pituitary Dwarfism presents with short stature and what kind of body proportions?

Answer 3

normal

Question 4

is Pituitary Dwarfism congenital or acquired?

Answer 4

both

Question 5

risk factors for pituitary dwarfism

Answer 5

deficiency in thyrotropin, vasopressor, gonadotropins, ACTH

genetic, pituitary adenoma, empty sella turcica

trauma, infections (in utero)

Question 6

if acquired how would growth chart look?

Answer 6

normal and then flatlines

Question 7

why is puberty not always present in Pituitary Dwarfism

Answer 7

there is a hereditary form of Pituitary Dwarfism that can cause them to not go through puberty

Question 8

Pituitary Dwarfism work up

Answer 8

1. hand x-ray- to determine bone age
2. GH/IGF-1 levels
3. hormone levels
   MRI of brain

Question 9

prognosis of Pituitary Dwarfism

Answer 9

growth rate improves if caught early and with GH administration

Question 10

treatment of Pituitary Dwarfism

Answer 10

synthetic GH for GH deficiency

hormone replacement as warranted