101
|
Nayak D, Walia R, Bremner R, Smith M, Mohanakumar T. Repertoire Analysis of De Novo Non-HLA Antibodies Associated with Chronic Lung Allograft Rejection Following Human Lung Transplantation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
102
|
Gunasekaran M, Sharma M, Bansal S, Walia R, Smith M, Bremner R, Mohanakumar T. Exosomes Isolated from Lung Transplant Recipients Diagnosed with Bronchiolitis Obliterans Syndrome, But Not Stable, Can Induce Immune Responses to Lung Associated Self-Antigens, K-alpha-1 Tubulin and Collagen V. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
|
103
|
Todd E, Biswas Roy S, Kang P, Abdelrazek H, Walia R, Bremner R, Smith M. Low Antithrombin Levels Pre-ECMO May Predict Venous Thromboembolism After Lung Transplantation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
104
|
Biswas Roy S, Haworth C, Olson M, Kang P, Varsch K, Panchabhai T, Bremner R, Smith M, Walia R. Lung Transplant Outcomes in Donors Managed with Airway Pressure Release Ventilation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
105
|
Gunasekaran M, Limaye A, Sharma M, Bansal S, Walia R, Smith M, Bremner R, Mohanakumar T. Novel Mechanism for the Increased Risk for Chronic Lung Allograft Dysfunction by Respiratory Viral Infections Following Human Lung Transplantation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
106
|
Gunasekaran M, Xu Z, Nayak D, Sharma M, Hachem R, Walia R, Bremner RM, Smith MA, Mohanakumar T. Donor-Derived Exosomes With Lung Self-Antigens in Human Lung Allograft Rejection. Am J Transplant 2017; 17:474-484. [PMID: 27278097 PMCID: PMC5340154 DOI: 10.1111/ajt.13915] [Citation(s) in RCA: 95] [Impact Index Per Article: 13.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2016] [Revised: 06/02/2016] [Accepted: 06/04/2016] [Indexed: 01/25/2023]
Abstract
The immunological role of exosomes in allograft rejection remains unknown. We sought to determine whether exosomes are induced during lung allograft rejection and to define the antigenic compositions of HLA, lung-associated self-antigens (SAgs) and microRNAs (miRNAs). Exosomes were isolated from sera and bronchoalveolar lavage fluid from 30 lung transplant recipients (LTxRs) who were stable or who had acute rejection (AR) or bronchiolitis obliterans syndrome (BOS). Exosomes were defined by flow cytometry for CD63 and western blotting for annexin V SAgs, collagen V (Col-V) and Kα1 tubulin were examined by electron microscopy; miRNAs were profiled by a miRNA array. Donor HLA and SAgs were detected on exosomes from LTxRs with AR and BOS but not from stable LTxRs. Exosomes expressing Col-V were isolated from sera from LTxRs 3 mo before AR and 6 mo before BOS diagnosis, suggesting that exosomes with SAgs may be a noninvasive rejection biomarker. Exosomes isolated from LTxRs with AR or BOS also contained immunoregulatory miRNAs. We concluded that exosomes expressing donor HLA, SAgs and immunoregulatory miRNAs are present in the circulation and local site after human lung transplantation and play an important role in the immune pathogenesis of acute allograft rejection and BOS.
Collapse
|
107
|
Mortensen A, Cherrier L, Walia R. Lung Transplantation on Pirfenidone: A Single Center Experience. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.864] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
|
108
|
Biswas Roy S, Alarcon D, Walia R, Chapple KM, Bremner RM, Smith MA. Is There an Age Limit to Lung Transplantation? Ann Thorac Surg 2015; 100:443-51. [DOI: 10.1016/j.athoracsur.2015.02.092] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Revised: 02/16/2015] [Accepted: 02/18/2015] [Indexed: 12/14/2022]
|
109
|
Hooft N, Smith M, Huang J, Bremner R, Walia R. Gastroparesis is common after lung transplantation and may be ameliorated by botulinum toxin-A injection of the pylorus. J Heart Lung Transplant 2014; 33:1314-6. [DOI: 10.1016/j.healun.2014.08.016] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2013] [Revised: 08/06/2014] [Accepted: 08/20/2014] [Indexed: 11/29/2022] Open
|
110
|
Kumari S, Singh R, Walia R. Synthesis and Bioevaluation of 3-(substitutedphenyl)-1-(4-hydroxyphenyl)-2-propen-1-ones and their Carbamate Derivatives against Root - Knot Nematode (Meloidogyne javanica). ACTA ACUST UNITED AC 2014. [DOI: 10.13005/ojc/300346] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
111
|
Makroo R, Walia R, Bhatia A, Chowdhry M. Transfusion requirements in living donor liver transplantation – Role of laboratory assessment and Model For End Stage Liver Disease (MELD) score. APOLLO MEDICINE 2014. [DOI: 10.1016/j.apme.2014.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
|
112
|
Walia R, Jain D, Mathur SR, Bakhshi S, Iyer VK. Metastatic retinoblastoma of mandible diagnosed on fine needle aspiration cytology. Cytopathology 2014; 25:419-21. [PMID: 24750298 DOI: 10.1111/cyt.12115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
113
|
Hooft N, Saggar R, Smith M, Kuo E, Huang J, Walia R, Bremner R. Prevalence of Forgut Dysfunction in Pulmonary Fibrosis and COPD Patients Undergoing LTx Evaluation. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
114
|
Ibrahim S, Omer A, Saggar R, Hurley J, Bremner R, Kuo E, Huang J, Hashimi S, Smith M, Walia R. Lung Transplantation Outcomes in “Older” Patients: Risk vs. Benefit? J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
|
115
|
Bhansali A, Walia R, Ravi Kumar P, Ravi Kiran M, Shanmugasundar G. Accuracy of glycated haemoglobin in screening for pre-diabetes in Asian Indians--a community survey: the Chandigarh Urban Diabetes Study (CUDS). Diabet Med 2012; 29:1385-9. [PMID: 22414322 DOI: 10.1111/j.1464-5491.2012.03634.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIM To compare American Diabetes Association and International Expert Committee recommended cut-off values of HbA(1c) for detecting the presence of pre-diabetes against plasma glucose values obtained from oral glucose tolerance tests in Asian Indians. METHODS A cross-sectional randomly sampled population survey involving 2368 adults, aged ≥ 20 years. HbA(1c) was measured on a Bio-Rad 10 system in 1972 subjects. RESULTS Of the 1972 subjects studied, 329 were detected to have pre-diabetes based on isolated impaired fasting glucose in 125 subjects (6.3%), isolated impaired glucose tolerance in 141 subjects (7.1%) and the presence of both in 63 subjects (3.2%). The HbA(1c) cut-off of 34 mmol/mol (5.7%), as recommended by the American Diabetes Association for detecting the presence of pre-diabetes, showed sensitivity of 62%, specificity 77%, with a positive predictive value of 34.7%, a negative predictive value of 89.5% and accuracy of 67.8%; whereas the HbA(1c) cut-off recommended by the International Expert Committee of 42 mmol/mol (6%) had a sensitivity of 36%, specificity of 90%, positive predictive value of 42.7%, negative predictive of 85.4% and an accuracy of 77%. However, both these HbA(1c) cut-offs underdiagnosed the presence of pre-diabetes in 38 and 64% of these subjects, respectively. CONCLUSIONS The American Diabetes Association and the International Expert Committee recommended HbA(1c) cut-off values and oral glucose tolerance tests identify different pre-diabetes cohorts. Long-term prospective studies are required to define the usefulness of one over the other.
Collapse
|
116
|
Walia R, Hodges T, Huang J, Varsch K, Saggar R, Naik P, Kuo E, Bremner R, Smith M. 518 Incidence and Clinical Course of Barrett's Esophagus Pre- and Post-Lung Transplantation. J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
117
|
Felton V, Pierce B, Hodges T, Walia R, Bremner R, Smith M. The Role of Epithelial-Mesenchymal Transition in the Development and Progression of Bronchiolitis Obliterans Syndrome. Chest 2011. [DOI: 10.1378/chest.1118536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
|
118
|
Ravindran Rajendran S, Bhansali A, Walia R, Dutta P, Bansal V, Shanmugasundar G. Prevalence and pattern of hand soft-tissue changes in type 2 diabetes mellitus. DIABETES & METABOLISM 2011; 37:312-7. [DOI: 10.1016/j.diabet.2010.09.008] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2010] [Revised: 09/15/2010] [Accepted: 09/17/2010] [Indexed: 11/28/2022]
|
119
|
Jacobs JV, Hodges TN, Bremner RM, Walia R, Huang J, Smith MA. Hardware Preservation After Sternal Wound Infection in a Lung Transplant Recipient. Ann Thorac Surg 2011; 92:718-20. [DOI: 10.1016/j.athoracsur.2011.01.034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2010] [Revised: 12/17/2010] [Accepted: 01/10/2011] [Indexed: 11/24/2022]
|
120
|
Ravikumar P, Bhansali A, Walia R, Shanmugasundar G, Ravikiran M. Alterations in HbA(1c) with advancing age in subjects with normal glucose tolerance: Chandigarh Urban Diabetes Study (CUDS). Diabet Med 2011; 28:590-4. [PMID: 21244476 DOI: 10.1111/j.1464-5491.2011.03242.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
OBJECTIVE To study the alterations in HbA(1c) with advancing age in subjects with normal glucose tolerance. METHODS Community-based cross-sectional study involving 2368 subjects aged ≥ 20 years from Chandigarh, India. All the subjects underwent an oral glucose tolerance test with 75 g anhydrous glucose and were classified as having normal glucose tolerance, pre-diabetes or diabetes according to World Health Organization 1999 criteria. HbA(1c) was measured on a National Glycohemoglobin Standardization Program-certified Bio-Rad D-10 system and the data were available for 1972 subjects. RESULTS Out of 1972 subjects, 1317 (67%) subjects had normal glucose tolerance. There was a significant positive correlation between mean HbA(1c) and age in these subjects (r = 0.308, P(trend) < 0.001). The increase in HbA(1c) with each advancing year was 0.01% above the age of 20 years and corrected HbA(1c) (%) for age was 5.09 + 0.01 (age). The 95th percentile of HbA(1c) exceeded 6.5% (48 mmol/mol) (the American Diabetes Association cut-off for diagnosis of diabetes) in subjects aged ≥ 70 years. A significantly higher number (6.5%, 21/325) of subjects had HbA(1c) of ≥ 6.5% (48 mmol/mol) in those above the age of 50 years compared with those below the age of 50 years (1.7%, 17/992) in the group with normal glucose tolerance (P < 0.001). On multivariate regression analysis, after adjusting for BMI, fasting plasma glucose and 2-h plasma glucose post-glucose load, the correlation of HbA(1c) with age still remained significant (r = 0.241, P < 0.01). CONCLUSION HbA(1c) increases with advancing age independent of glycaemia, suggesting caution when seeking to achieve the recommended HbA(1c) targets in the elderly population.
Collapse
|
121
|
Dhiman P, Bhansali A, Prasad R, Dutta P, Walia R, Ravikiran M. Predictors of pilosebaceous unit responsiveness to testosterone therapy in patients with hypogonadotrophic hypogonadism. Andrologia 2011; 43:422-7. [PMID: 21486418 DOI: 10.1111/j.1439-0272.2010.01093.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Testosterone replacement therapy is the mainstay of treatment in male patients with isolated hypogonadotrophic hypogonadism (HH) to achieve virilisation. However, responsiveness of pilosebaceous unit (PSU) to testosterone replacement therapy in these patients is quite variable. Androgen action is inversely proportional to the number of CAG repeats in exon 1 of androgen receptor gene; therefore, we hypothesised that CAG repeat length contributes to testosterone responsiveness in patients with HH. The CAG repeat length in 21 well-virilised men (hair score > 30, responders) and 25 poorly virilised men (hair score ≤ 30, non-responders) with HH on optimal testosterone replacement therapy at least for a period of 1 year was analysed. Serum LH, FSH, testosterone and 17 β oestradiol were estimated. Polymerase chain reaction (PCR) amplification of exon 1 of androgen receptor gene was performed from genomic DNA, and these PCR-amplified products were sequenced for the number of CAG repeats. The difference between number of CAG repeats in responders and non-responders was statistically significant (19.19 ± 3.25 and 22.24 ± 2.65, P = 0.001) and showed a strong negative correlation with total body hair score (r = -0.538 and P = 0.0001). In conclusion, these results suggest that the number of CAG repeats influences the responsiveness of PSU to testosterone treatment in patients with HH.
Collapse
|
122
|
Walia R, Kumar P, Mehrotra I. Performance of UASB based sewage treatment plant in India: polishing by diffusers an alternative. WATER SCIENCE AND TECHNOLOGY : A JOURNAL OF THE INTERNATIONAL ASSOCIATION ON WATER POLLUTION RESEARCH 2011; 63:680-688. [PMID: 21330714 DOI: 10.2166/wst.2011.333] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
In India, recently, upflow anaerobic sludge blanket (UASB) based sewage treatment plants (STPs) have come up in a big way. Sequence adopted: screens- grit chambers- UASB reactors followed by one-day detention ponds (DP). Performance of DPs located at five STPs (27-70 ML/d) was evaluated over a period of one year from July 2004 to July 2005. The installation of these non-algal ponds reduced land requirement, but from treatment point of view it at best offered only removal of solids washed out of the UASB reactor. Total coliform count in the effluent from ponds ranging from 10(6) to 10(9) MPN/100 mL is more than the maximum permissible limit of 10,000 MPN/100 mL. A need has, therefore, been felt to evaluate the possibility of aerating the effluent from UASBR. During aeration, ORP and DO increase, whereas COD and BOD decrease. In a continuous aeration ~50% reduction in COD and nearly 50% increase in DO saturation (DO/DOs) can be achieved by increasing ORP from -100 to 122 mV. Regression equation established between ORP and COD/CODi & DO/DOs may find wide application.
Collapse
|
123
|
Ravikumar P, Bhansali A, Ravikiran M, Bhansali S, Walia R, Shanmugasundar G, Thakur JS, Kumar Bhadada S, Dutta P. Prevalence and risk factors of diabetes in a community-based study in North India: the Chandigarh Urban Diabetes Study (CUDS). DIABETES & METABOLISM 2010; 37:216-21. [PMID: 21195002 DOI: 10.1016/j.diabet.2010.10.004] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2010] [Revised: 09/28/2010] [Accepted: 10/05/2010] [Indexed: 10/18/2022]
Abstract
AIMS As there have been few studies in North India of the prevalence of diabetes within the past decade, this study aimed to assess the prevalence and risk factors associated with diabetes in the North Indian city of Chandigarh. METHODS This cross-sectional survey of 2227 subjects (response rate: 94%), aged ≥20 years and representative of the urban Chandigarh population, was conducted from April 2008 to June 2009. Fasting plasma glucose (FPG) and 2-h plasma glucose (2hPG) following ingestion of 75 g of an anhydrous glucose equivalent were estimated by glucometer in all subjects except those with known diabetes, in whom only FPG was measured. Diagnosis of diabetes was based on 1999 WHO criteria. The collected prevalence data was age-standardized for the Chandigarh population, and multivariate logistic-regression analysis was used to correlate risk factors with the presence of diabetes. RESULTS A total of 349 subjects (15.7%, 95% CI: 13.9-16.9) were diabetic, comprising 210 (9.4%) with known diabetes and 139 (6.2%) with newly diagnosed diabetes, and 344 (15.4%, 95% CI: 14.3-17.1) subjects were prediabetic. The age-standardized prevalence of diabetes and prediabetes were 11.1% (95% CI: 9.7-12.4) and 13.2% (95% CI: 11.8-14.6), respectively. Age ≥50 years, a family history of diabetes, BMI ≥23 kg/m(2), abdominal obesity and hypertension were significantly and positively associated with the presence of diabetes, whereas educational status was negatively associated with diabetes (P<0.001 for all). CONCLUSION The age-standardized prevalence of diabetes and prediabetes were 11.1% and 13.2%, respectively. Older age, family history of diabetes, obesity and hypertension were positively related, while educational status was negatively related, to the presence of diabetes.
Collapse
|
124
|
Das S, Bhansali A, Upreti V, Dutta P, Gupta SK, Ananthraman R, Walia R. A child with suprasellar mass and ascites. BMJ Case Rep 2010; 2010:2010/oct11_1/bcr0620092030. [PMID: 22789693 DOI: 10.1136/bcr.06.2009.2030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
A 7-year-old child having short stature presented with headache and vomiting of 6 months' duration. MRI of the brain showed a sellar and suprasellar mass suggestive of craniopharyngioma with hydrocephalus. He underwent a right ventriculo-peritoneal (V-P) shunting followed by a subtotal resection of the tumour. A year later, he presented with progressive ascites and umbilical hernia. Systemic examination was unremarkable except for massive ascites. Ultrasound abdomen confirmed free-fluid in the peritoneal cavity and the ascitic fluid was transudative. Ventriculo-cysternography revealed a functional and patent V-P shunt. A diagnosis of cerebrospinal fluid ascites (shunt ascites) was made and he underwent ventriculo-atrial shunting. After treatment the patient improved with the gradual disappearance of ascites.
Collapse
|
125
|
Bhansali A, Upreti V, Dutta P, Mukherjee KK, Nahar U, Santosh R, Das S, Walia R, Pathak A. Adolescent acromegaly: clinical parameters and treatment outcome. J Pediatr Endocrinol Metab 2010; 23:1047-54. [PMID: 21158216 DOI: 10.1515/jpem.2010.166] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Adolescent acromegaly is a rare disorder and these patients present with tall stature/gigantism, tumor mass effects and menstrual irregularities. PATIENTS AND METHODS 34 consecutive (26 males) patients having onset of disease prior to 21 years of age were included in this retrospective analysis. Their clinical features and treatment outcome were studied. RESULTS Mean age and lag time at presentation were 21.6 +/- 3.9 years and 5.1 +/- 3.5 years respectively. Common presenting manifestations included acral enlargement, tumor mass effects and menstrual irregularities. Mean height at presentation was 174.6 +/- 13.7 cms (range: 150-210 cm) and one third had gigantism (height > or =97th percentile, WHO growth charts). Hypertension and glucose intolerance were seen in 15% and 23.5% respectively. Mean nadir GH after glucose load was 58.2 +/- 13.7 ng/ml and IGF -1 was 534.8 +/- 132.8 ng/ml. Half of the patients had concomitant hyperprolactinemia. Almost all (97%) had macroadenoma and anterior pituitary hormone deficiencies were frequent (75%). Patients with gigantism were younger (19.6 +/- 4.9 vs. 22.6 +/- 2.9 years; p = 0.001), had higher GH values (66.68 +/- 27.22 vs. 53.98 +/- 15.99 ng/ml; p = 0.04) and hypogonadism was more common (90.9% vs. 56.5%, p = 0.03) than those with normal stature. 32 patients (94.1%) were treated primarily with surgery, 7 (21.9%) received post operative radiotherapy. Mean duration of follow up was 33.1 +/- 10.1 months. Only 30% had nadir GH values of <1 ng/ml. CONCLUSION One third of adolescent patients had acrogigantism. These patients were younger, had higher GH levels and concurrent hypogonadism was more common. Cure could be achieved only in about one third of the patients.
Collapse
|