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You are seeing 4 patients for their annual visits today. For which of them are you most likely to order testing for adult-onset growth hormone deficiency?
Making the diagnosis of growth hormone deficiency (GHD) is generally easier in children because the outcome of short stature is readily apparent. The task is more difficult in those with adult-onset deficiency because the symptoms are generally nonspecific, so a higher index of suspicion is required. Which of the following tests is considered the gold standard for diagnosing GHD in adults?
In this podcast, Rohan Henry, MD, MS, speaks about pediatric adrenal insufficiency and the relationship between pituitary dysfunction and the clinical characteristics that should heighten suspicion for secondary adrenal insufficiency or pituitary dysfunction in children.
Clinical manifestations of adult-onset growth hormone deficiency (GHD) are nonspecific, but some clinical characteristics have been identified. Which of the following patients is most likely to have adult-onset GHD?