성장호르몬 치료 중 발생한 대퇴골두골단분리증 1예
A case of slipped capital femoral epiphysis developed during growth hormone treatment
소속 상세정보
김정은/Jung Eun Kim
최영일/하창영/이수진/정윤석/이관우/김현만/김현주/안재인/Young Il Choi/Chang Young Ha/Soo-Jin Lee/Yoon-Sok Chung/Kwan Woo Lee/Hyeon-Man Kim/Hyon Ju Kim/Jae In Ahn
KMID : 0882420010600060589
Abstract
저자 등은 17세 남자에서 성장호르몬 결핍증이 동반된 제 Ia 형 당원병 환자에서 대퇴골두골단분리증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Slipped capital femoral epiphysis (SCFE) is the most common orthopedic hip disorder occuring in adolescence. In this condition, the femoral head (epiphysis) displaces, or slips on the femoral neck through the region of the growth plate. This
condition
can occur only before the epiphyseal plate closes. The exact etiology is unknown, although it has been associated with obesity, mechanical abnormalities, physeal abnormalities, endocrine disturbances (hypothyroidism, growth hormone deficiency,
hypogonadism).
Interestingly, SCFE was observed in growth hormone deficiency and in patients treated with growth hormone. We report a case of an adolescent male with glycogen storage disease Ia and growth hormone deficiency who developed SCFE during treatment
with
recombinant human growth hormone.
A 17-year-old male was admitted for pain of left hip which was exacerbated by walking 15 days ago. He was diagnosed glycogen storage disease Ia and growh hormone deficiency 2 years ago and treated growth hormone therapy with recombinant human
growth
hormone at the dose of 2 unit/day. The diagnosis of SCFE was confirmed radiologically. From the time of admission, he received skin traction on the left hip joint and stopped to inject growth hormone and treated surgically with internal fixation
of
the
epiphysis with use of 3-cannulated screw. The patient is followed at out-patient clinic without postoperative complication.
키워드
Epiphyses; Slipped disk; Somatotropin;
원문 및 링크아웃 정보
등재저널 정보