Endocrine Disorder in Children with Chronic Liver Diseases

Document Type : Research Paper

Authors

1 Associate Professor of Pediatric Gastroenterology, Mashhad University of Medical Sciences, Mashhad, Iran

2 Professor of Pediatrics, Mashhad University of Medical Sciences, Mashhad, Iran

3 Assistant Associate Professor of Pediatric Gastroenterology, Mashhad University of Medical Sciences, Mashhad, Iran

4 Medical doctor, Mashhad University of Medical Sciences, Mashhad, Iran

5 Assistant Professor of Pediatrics, North Khorasan University, Bojnourd, Iran

6 MSN, Faculty member of North Khorasan university, Phd candidate of Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Introduction
An important consequence of chronic liver disease (CLD) is endocrine disorders. The main object of this study was to assess serum hormones in children with CLD.
Materials and Methods
In a cross sectional study between 2007-2009 ,57 children with chronic liver disease were enrolled. Levels of serum triiodothyronine (T3) , thyroxin (T4) , thyroid stimulating hormone (TSH) , parathormon (PTH), calcium(c), phosphor (P) ,alkalanephosphatase (ALP),growth hormone(GH) and insulin like growth factor-1(IGF-1) , albumin (ALB) and total protein , triglyceride (TG) and cholesterol (CHOL) , fasting blood sugar (FBS) and liver function tests were measured.
Results
In this study, most patients' thyroid hormones and fasting blood sugar were at normal range. But there was a significant decline in serum IGF- 1 levels in this patients. 28 percent of children had PTH levels higher than normal range for age and 24 percent had serum phosphor levels lower than normal range .1/3 of these patients were bone fracture . Overt diabetics did not obsereve in our children.
Conclusion
Children with CLD are GH resistant and might be at risk of osteopenia and bone fracture. So serum hormone levels should be carefully monitored in children with CLD.

Keywords

References

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medical journal of mashhad university of medical sciences
Volume 55, Issue 1 - Serial Number 1
May and June 2012
Pages 21-27

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