Artículos de revistas
[short Stature In Chronic Kidney Disease: Physiopathology And Treatment With Growth Hormone].
Registro en:
Arquivos Brasileiros De Endocrinologia E Metabologia. v. 52, n. 5, p. 783-91, 2008-Jul.
1677-9487
18797585
Autor
Oliveira, Josenilson Campos de
Siviero-Miachon, Adriana A
Spinola-Castro, Angela Maria
Belangero, Vera Maria Santoro
Guerra-Junior, Gil
Institución
Resumen
Growth failure is frequent and a clinically important issue in children with chronic kidney disease (CKD). Many factors contribute to impaired growth in these children, including abnormalities in the growth hormone (GH)--insulin-like growth factor 1 (IGF-1) axis, malnutrition, acidosis, renal bone disease and glucocorticoid associated treatment. The management of growth failure in children with CKD is complicated by the presence of other-disease related complications requiring medical intervention. Despite evidence of GH efficacy and safety in this population, this therapy is still underutilized. This review shows the impact, the causes and the treatment of growth failure in children with CKD. 52 783-91