Review Article

Challenges in the Diagnosis and Management of Growth Hormone Deficiency in India

Table 1

Various tests for diagnosis of growth hormone deficiency.

Study GH assayIGF-1 assayStimulation testsNumber of patientsMean age (yrs)

Raghupathy [23]LHRH (luteinizing hormone–releasing hormone), TRH (thyrotropin-releasing factor)813.8
Kota et al. [24]Solid-phase, 2-site CIASolid-phase, enzyme-labeled CIAIIH, clonidine258.6 ± 2.9 years
Ekbote et al. [25]Solid-phase, 2-site CIASolid-phase, enzyme-labeled CIAClonidine, glucagon288.6
Khadilkar et al. [26]Stimulation tests (type not mentioned) or one test with typical phenotype1512
Menon et al. [27]RIAIIH, clonidine209.43 ± 3.52 years
Bajpai et al. [28]IIH, clonidine969.9 ± 3.7 years
Garg et al. [29]IIH, clonidine/exercise7110.07 ± 3.26 years
Kannan et al. [30]RIAIIH, clonidine, diazepam302–14

CIA: chemiluminescent immunometric assay; IIH: insulin induced hypoglycaemia; RIA: radioimmunoassay.