A Child with Local Lipohypertrophy following Recombinant Human Growth Hormone Administration

Local lipohypertrophy due to recombinant human growth hormone (rhGH) administration is a rare phenomenon. Here, we report a case of an 11-year-old girl who presented with a paraumbilical swelling, approximately one year after the start of rhGH treatment for short stature due to the presumed diagnosi...

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Main Authors: Ilan J. N. Koppen, Roel Bakx, Chris C. de Kruiff, A. S. Paul van Trotsenburg
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/9648043
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author Ilan J. N. Koppen
Roel Bakx
Chris C. de Kruiff
A. S. Paul van Trotsenburg
author_facet Ilan J. N. Koppen
Roel Bakx
Chris C. de Kruiff
A. S. Paul van Trotsenburg
author_sort Ilan J. N. Koppen
collection DOAJ
description Local lipohypertrophy due to recombinant human growth hormone (rhGH) administration is a rare phenomenon. Here, we report a case of an 11-year-old girl who presented with a paraumbilical swelling, approximately one year after the start of rhGH treatment for short stature due to the presumed diagnosis of partial growth hormone insensitivity. Ultrasound imaging revealed an asymmetric distribution of subcutaneous fat tissue at the rhGH administration site, indicating local lipohypertrophy. After sparing her routine injection site and alternating other sites, the swelling disappeared within 6 months. Although the precise cause of local lipohypertrophy resulting from rhGH administration is still unclear, it might be related to the presumed diagnosis of partial growth hormone insensitivity.
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institution Kabale University
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publishDate 2016-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-76d0d0fa273e4613922565ea02ac09272025-08-20T03:35:15ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/96480439648043A Child with Local Lipohypertrophy following Recombinant Human Growth Hormone AdministrationIlan J. N. Koppen0Roel Bakx1Chris C. de Kruiff2A. S. Paul van Trotsenburg3Department of Pediatric Gastroenterology, Emma Children’s Hospital, Academic Medical Center, Amsterdam, NetherlandsPediatric Surgical Centre Amsterdam, VUMC/Emma Children’s Hospital, Academic Medical Center, Amsterdam, NetherlandsDepartment of Pediatric Endocrinology, Emma Children’s Hospital, Academic Medical Center, Amsterdam, NetherlandsDepartment of Pediatric Endocrinology, Emma Children’s Hospital, Academic Medical Center, Amsterdam, NetherlandsLocal lipohypertrophy due to recombinant human growth hormone (rhGH) administration is a rare phenomenon. Here, we report a case of an 11-year-old girl who presented with a paraumbilical swelling, approximately one year after the start of rhGH treatment for short stature due to the presumed diagnosis of partial growth hormone insensitivity. Ultrasound imaging revealed an asymmetric distribution of subcutaneous fat tissue at the rhGH administration site, indicating local lipohypertrophy. After sparing her routine injection site and alternating other sites, the swelling disappeared within 6 months. Although the precise cause of local lipohypertrophy resulting from rhGH administration is still unclear, it might be related to the presumed diagnosis of partial growth hormone insensitivity.http://dx.doi.org/10.1155/2016/9648043
spellingShingle Ilan J. N. Koppen
Roel Bakx
Chris C. de Kruiff
A. S. Paul van Trotsenburg
A Child with Local Lipohypertrophy following Recombinant Human Growth Hormone Administration
Case Reports in Pediatrics
title A Child with Local Lipohypertrophy following Recombinant Human Growth Hormone Administration
title_full A Child with Local Lipohypertrophy following Recombinant Human Growth Hormone Administration
title_fullStr A Child with Local Lipohypertrophy following Recombinant Human Growth Hormone Administration
title_full_unstemmed A Child with Local Lipohypertrophy following Recombinant Human Growth Hormone Administration
title_short A Child with Local Lipohypertrophy following Recombinant Human Growth Hormone Administration
title_sort child with local lipohypertrophy following recombinant human growth hormone administration
url http://dx.doi.org/10.1155/2016/9648043
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