PEDIATRICS Vol. 69 No. 4 April 1982, pp. 486-488
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Growth Hormone Deficiency in Twins: Three Cases with Normal Co-twins

Alan N. Lindsay MD1, Margaret H. MacGillivray MD1, and Mary L. Voorhess MD1

1 Department of Pediatrics, State University of New York at Buffalo School of Medicine and The Children's Hospital of Buffalo, Buffalo, New York

Idiopathic growth hormone deficiency is unusual in twin sibships. We report three twins with growth hormone deficiency whose co-twins are growing normally and have no evidence of hypothalamicpituitary dysfunction. It is likely that the affected children sustained perinatal insult. The data illustrate that idiopathic growth hormone deficiency should be considered in the differential diagnosis when there is a major discrepancy in height between twins.

CASE REPORTS

Case 1

Male twins I were born at 36 weeks' gestation to a 27-year-old gravida 3, para 2. There was no history of abnormal vaginal bleeding, infection or, toxemia. Labor was spontaneous and lasted two hours.


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