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 assay | IGF-1 assay | Stimulation tests | Number of patients | Mean age (yrs) |
| Raghupathy [23] | — | — | LHRH (luteinizing hormone–releasing hormone), TRH (thyrotropin-releasing factor) | 8 | 13.8 | Kota et al. [24] | Solid-phase, 2-site CIA | Solid-phase, enzyme-labeled CIA | IIH, clonidine | 25 | 8.6 ± 2.9 years | Ekbote et al. [25] | Solid-phase, 2-site CIA | Solid-phase, enzyme-labeled CIA | Clonidine, glucagon | 28 | 8.6 | Khadilkar et al. [26] | — | — | Stimulation tests (type not mentioned) or one test with typical phenotype | 15 | 12 | Menon et al. [27] | — | RIA | IIH, clonidine | 20 | 9.43 ± 3.52 years | Bajpai et al. [28] | — | — | IIH, clonidine | 96 | 9.9 ± 3.7 years | Garg et al. [29] | — | — | IIH, clonidine/exercise | 71 | 10.07 ± 3.26 years | Kannan et al. [30] | RIA | — | IIH, clonidine, diazepam | 30 | 2–14 |
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CIA: chemiluminescent immunometric assay; IIH: insulin induced hypoglycaemia; RIA: radioimmunoassay.
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