Causes
A rare genetic disorder known as Laron Syndrome, also known as growth hormone insensitivity, causes the body to not respond to growth hormone, resulting in short stature and other symptoms.
Symptoms
The primary symptoms of Laron Syndrome include:
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Height: Significantly shorter than peers of similar age.
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There are distinct facial characteristics such as a prominent forehead, a small chin, and an underdeveloped nasal bridge.
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Late puberty or incomplete development of secondary sexual characteristics.
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An increase in body fat, especially around the abdomen, is considered obesity.
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Infancy and early childhood are particularly prone to hypoglycemia.
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Voice with a high pitch: A voice with a characteristic high pitch.
Diagnosis
There are several steps involved in diagnosing Laron Syndrome:
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An assessment of growth patterns, physical features, and family history is performed as part of the medical history and physical examination.
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Individuals with Laron Syndrome typically have high levels of growth hormone and low levels of insulin-like growth factor 1 (IGF-1).
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A genetic test confirms the diagnosis by identifying mutations in the GHR gene.
Treatment
Laron Syndrome cannot be cured, but treatment focuses on managing symptoms and improving quality of life:
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In children with Laron Syndrome, synthetic IGF-1 is administered to stimulate growth and development.
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The nutritional support you need to manage your weight and prevent obesity is a balanced diet.
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Managing hypoglycemia: Regular monitoring of blood sugar levels and dietary adjustments to prevent low blood sugar episodes.
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To induce secondary sexual development in cases of delayed puberty, hormone replacement therapy may be considered.
Prevention
For at-risk pregnancies, prenatal genetic testing may also be considered. Since Laron Syndrome is a genetic disorder, there are no known prevention methods. However, genetic counseling can be helpful for families with a history of the disorder.
Conclusion
Symptoms of Laron Syndrome include short stature, distinctive facial features, delayed puberty, hypoglycemia, and growth hormone insensitivity caused by mutations in the growth hormone receptor gene. Although there is no cure for it, treatments such as recombinant IGF-1 therapy and nutritional support can help manage symptoms and improve quality of life. Families with a history of Laron Syndrome are advised to seek genetic counseling to understand the risks and implications.