Kao, K.T., Denker, M., Zacharin, M. and Wong, S.C. (2019) Pubertal abnormalities in adolescents with chronic disease. Best Practice and Research: Clinical Endocrinology and Metabolism, 33(3), 101275. (doi: 10.1016/j.beem.2019.04.009) (PMID:31047817)
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Abstract
Pubertal disorders in the context of chronic disease especially in those with chronic inflammatory disorders or those requiring prolonged periods of treatment with glucocorticoid are common reasons for referral to the paediatric endocrine clinic. Disorders of puberty are also common in adolescents with disability requiring management by paediatric endocrinologists. In these adolescents, impaired skeletal development is also observed and this can be associated with fragility fractures. Chronic inflammation, glucocorticoid and sub-optimal nutrition all impact on the hypothalamic-pituitary gonadal axis, and can also impact on skeletal development locally by their effects on the growth plate and bone. Addressing pubertal disorders is important to ensure adolescents with chronic disease are matched with their peers, promote adequate bone mass accrual and linear growth. Careful discussion with primary clinicians, the young person and the family is needed when instituting endocrine therapies to address puberty and manage bone health.
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Wong, Dr Jarod |
| Authors: | Kao, K.T., Denker, M., Zacharin, M., and Wong, S.C. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
| Journal Name: | Best Practice and Research: Clinical Endocrinology and Metabolism |
| Publisher: | Elsevier |
| ISSN: | 1521-690X |
| ISSN (Online): | 1878-1594 |
| Published Online: | 01 April 2019 |
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