Growth hormone to offset corticosteroid-induced growth retardation in DMD

Four boys suffering from Duchenne muscular dystrophy treated with corticosteroids (deflazacort or prednisone) had growth retardation with height varying between -3.24 and -1.85 standard deviations, growth velocity ranging from 0 to 3.25 cm/year and bone age retardation of two to four years.

  • Treatment with growth hormone at a rate of 0.24mg/kg/week accelerated growth from 3 to 7.8 cm/year in the 6-18 months following the start of treatment.
  • Two boys re-started their growth curve, and the third slowed his growth delay. The fourth remained at -1 standard deviation despite treatment.
  • The treatment was well tolerated, with no impact on cardiorespiratory or motor function.

 

Growth hormone therapy for children with Duchenne muscular dystrophy and glucocorticoid induced short stature. Lavi E, Cohen A, Libdeh AA et al. Growth Horm IGF Res. 2023 Aug 30;72-73:101558.