Consensus document of the Neuroendocrinology area of the Spanish Society of Endocrinology and Nutrition on management of hypopituitarism during transition.
The transition period from child to adult represents a crucial phase in the growth process where multiple physical and psychosocial changes occur. It has been arbitrarily defined as the period extending from late puberty to full adult maturity (i.e., from mid to late teenage years until 6-7 years after achievement of final height). The aim of this guideline is to emphasize the importance of adequate hormone replacement during this period and to review reassessment of pituitary function. In patients with GH deficiency diagnosed in childhood, an attempt is made to answer when to retest GH secretion, when to treat and how they should be monitored. Thyroxine, glucocorticoid, and sex steroid replacement are also reviewed.
['Alvarez-Escolá|Cristina|C|', 'Fernández-Rodríguez|Eva|E|', 'Recio-Córdova|José María|JM|', 'Bernabéu-Morón|Ignacio|I|', 'Fajardo-Montañana|Carmen|C|', '|||']
D000293:Adolescent D000328:Adult D001823:Body Composition D002648:Child D002657:Child Development D016903:Drug Monitoring D004700:Endocrine System Diseases D005260:Female D006128:Growth D013007:Growth Hormone-Releasing Hormone D020249:Hormone Replacement Therapy D019382:Human Growth Hormone D006801:Humans D007018:Hypopituitarism D007030:Hypothalamo-Hypophyseal System D008297:Male D010913:Pituitary-Adrenal System D011627:Puberty D060305:Transition to Adult Care
Hypopituitarism Transition period Hormone replacement Adrenal insufficiency Deficiencia de hormona de crecimiento Growth hormone deficiency Growth hormone stimulation test Hipogonadismo Hipopituitarismo Hipotiroidismo, Insuficiencia adrenal Hypogonadism Hypothyroidism Período de transición Sustitución hormonal Test de estímulo de la hormona de crecimiento