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Identifying growth hormone deficiency (GHD) can be a diagnostic challenge. In clinical practice, it can be difficult to differentiate among GHD, idiopathic short stature or constitutional delay of growth and puberty. A combination of auxological data, insulin-like growth factor 1 activity, neuroimaging and detailed clinical history is used alongside growth hormone stimulation tests (GHSTs).
There is variation in UK practice on how children are tested for GHD.1 GH treatment is expensive as well as burdensome to the patient.
It is well known that sex steroids augment the GH response …
Contributors Survey was designed by LR and SS. Data were collected and analysed by CF. The paper and results were written by CF and overseen by SS.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement Data are available only to authors.
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