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Growth hormone deficiency and empty sella in DIDMOAD syndrome: an endocrine study.
  1. A T Soliman,
  2. B Bappal,
  3. A Darwish,
  4. A Rajab,
  5. M Asfour
  1. Department of Paediatrics, Royal Hospital, Muscat, Oman.

    Abstract

    Two girls with DIDMOAD syndrome are presented. One also had severe megaloblastic-sideroblastic anaemia and the other several neurological manifestations. Both were short with defective growth hormone secretion. Computed tomography revealed empty sella in both girls; one had widespread atrophic cortical and cerebellar changes. High doses of thiamine improved the anaemia in the first case, increased C peptide secretion in both, but had no effect on the neurological abnormalities.

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