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189537

Effect of Steroid Therapy on Growth hormone in Children with Nephrotic Syndrome

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Last updated: 28 Dec 2024

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Abstract

Background: Nephrotic syndrome is the most frequent kidney-related condition in the United States today, providing a severe health risk. The cornerstone of therapy is still corticosteroids. Protein deficiency was a major cause of linear growth retardation in nephrotic individuals before steroids were administered. The goal of our research was to see how corticosteroids affected growth hormone in children with nephrotic syndrome. Methodologies: From February to December 2020, a cross-sectional research was conducted on children with nephrotic syndrome who visited the Benha University Nephrology clinic. After receiving written agreement from the patients' parents, the research included 36 patients with nephritic syndrome of both sexes, divided into two groups: corticosteroid response group and corticosteroid plus other immunosuppressive medications group. The following conditions were applied to all of the instances in the study: Growth hormone level in blood was measured after a thorough history, full clinical examination, and laboratory testing. Results: The majority of our NS patients (66.7%) were on corticosteroid medication, while 33.3 percent were on corticosteroid plus immunosuppressive medication, according to our research. Complete remission was 1 (2.8%), steroid dependent was 20 (55.5%), rare recurrence was 3 (8.4%), and corticosteroid resistant was 12 in our research (33.3). According to the findings of the present research, small stature accounted for 15 percent of the cases analysed (41.7 percent ). The G.H distribution in the examined cases was found to vary between 0.04 and 2.80ng/ml, with a mean of 0.76 0.86. The distribution of elicited growth hormone in the examined patients varied from 1.17 to 14.60 (ng/ml), with a mean of 5.28 2.81. According to this research, the distribution of activated growth hormone categories among the analysed patients was as follows: borderline (10.78%), normal (6.17%), and subnormal (20%). (55.6 percent ). There was a statistically significant negative connection between cumulative steroid dosage and mortality in the present trial (growth hormone and provocated Growth hormone). Conclusion: The majority of children with nephrotic syndrome exhibited a height disadvantage. Children with nephrotic syndrome may have growth retardation as a result of chronic steroid therapy. In most instances of NS, growth hormone levels are below normal. Corticosteroid cumulative doses have a negative impact on linear growth.

DOI

10.21608/bjas.2021.189537

Keywords

corticosteroid, Growth hormone, nephrotic syndrome, Evaluation

Authors

First Name

A.A.

Last Name

Abd El-hameed

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Affiliation

pediatrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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First Name

S.A.

Last Name

El-Gendy

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Affiliation

pediatrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

E.R.

Last Name

Abd El-gawaad

MiddleName

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Affiliation

clinical and chemical pathology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

R.A.

Last Name

Elsayed

MiddleName

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Affiliation

pediatrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

-

First Name

H.H.

Last Name

Mahmoud

MiddleName

-

Affiliation

pediatrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Volume

6

Article Issue

4

Related Issue

27157

Issue Date

2021-08-01

Receive Date

2021-08-16

Publish Date

2021-08-01

Page Start

79

Page End

87

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_189537.html

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https://bjas.journals.ekb.eg/service?article_code=189537

Order

13

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Effect of Steroid Therapy on Growth hormone in Children with Nephrotic Syndrome

Details

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Article

Created At

23 Jan 2023