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Departments of Pediatrics and Medical Statistics (P.K.), University of Cologne, 50924 Cologne, Germany; and Clinical Research Institute (H.-J.Z.), 79232 March, Germany
Address all correspondence and requests for reprints to: Uwe Querfeld, M.D., University Childrens Hospital, Joseph-Stelzmann-Strasse 9, 50924 Cologne, Germany. E-mail: uwe.querfeld{at}uni-koeln.de
Treatment with recombinant human GH (rhGH), alone or in combination with the anabolic steroid oxandrolone (OX), has been recommended for girls with Turners syndrome to improve final height. Several cardiovascular risk factors have been described in patients with Turners syndrome, but the effect of therapy with rhGH and OX on lipoprotein(a) [Lp(a)] has not been investigated. Lp(a) serum levels and apolipoprotein(a) phenotypes were determined in 46 girls with Turners syndrome (aged 615 yr) during treatment with different combinations of rhGH and OX for 2436 months (median, 27 months). Lp(a) serum levels showed little variation during 30 months of treatment in all treatment groups. Lp(a) levels showed no significant change in 25 patients receiving only rhGH and in 21 patients receiving rhGH and OX in combination. Treatment effects were independent of apolipoprotein(a) phenotypes and were not influenced by pubertal status. These data indicate that long term administration of rhGH has no significant impact on serum Lp(a) levels in girls with Turners syndrome.
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K. Landin-Wilhelmsen, I. Bryman, and L. Wilhelmsen Cardiac Malformations and Hypertension, But Not Metabolic Risk Factors, Are Common in Turner Syndrome J. Clin. Endocrinol. Metab., September 1, 2001; 86(9): 4166 - 4170. [Abstract] [Full Text] [PDF] |
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