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What is GHD?
Growth Hormone Deficiency occurs when a child’s body does not produce enough of a hormone called somatropin, also known as growth hormone. When this happens, a child’s growth begins to slow down. In order for a child to grow properly, an important gland called the pituitary must produce and/or release enough growth hormone.

What are the signs and symptoms of GHD?
The first and most noticeable symptom—and the one that causes most parents to seek a doctor’s help—is slow growth (less than 2 inches per year) or no growth. Other symptoms can also include:
 

• An immature face—making the child look younger than he or she actually is, especially when compared to peers
• A history of low blood sugar as an infant

Keep in mind that each and every child experiences his or her symptoms differently.

What causes GHD?
Growth hormone deficiency is congenital, acquired or idiopathic. Congenital means that the child was born with the disorder. This can be due to a genetic abnormality that involved the formation of the pituitary gland, which is responsible for producing growth hormone. Acquired means the disorder develops later in life; risk factors can include:
 

• A pituitary gland or hypothalamus tumor
• Damage to the pituitary gland or hypothalamus from radiation treatment around the head or neck
• Trauma to the head that caused brain damage
• Meningitis (an infection of the central nervous system)

Occasionally, doctors cannot find any reason for a child’s growth hormone deficiency. The cause seems truly to be unknown. When that happens, the growth hormone deficiency is referred to as idiopathic.

What are the effects of GHD?
Growth hormone deficiency causes slow growth and without treatment can result in short stature as an adult.

How common is GHD?
It is estimated that the incidence of growth hormone deficiency in children is between 1 in 4,000 and 1 in 10,000.

What treatments are available for GHD?
Growth hormone deficiency is treated with human growth hormone. Saizen® is indicated for the treatment of children and adults with growth hormone deficiency. Saizen® is a brand of recombinant growth hormone marketed in the US by EMD Serono. Like all recombinant growth hormone products, Saizen® should not be used in patients with diabetic retinopathy, active cancer, serious acute critical illness, or in Prader-Willi syndrome patients with severe obesity or severe respiratory impairment. For more information and full disclosure, please see enclosed prescribing information.

What can you expect from GHD treatment?
A growing child! Growth hormone therapy causes bones to grow, which causes an increase in height. It may take 3 to 4 months of treatment before there is a distinct change in the child. During the first year of therapy, a child can grow as much as 8 to 12 centimeters (3 to 4.5 inches). After the first year of therapy, on average, most patients grow approximately seven centimeters (2.75 inches) per year.

How do you administer GHD treatments?
EMD Serono offers three patient-friendly injection devices for the administration of Saizen®: one.click®, an auto-injector pen; cool.click®, a
needle-free option; and easypod® a new, innovative electronic device.

Where can I find out more information about GHD?
You can find out more information about growth hormone deficiency on the internet at:

 

 

• The Human Growth Foundation, www.hgfound.org
• The Magic Foundation, www.magicfoundation.org
www.howkidsgrow.com

Can GHD occur in adults?
Growth hormone deficiency can occur in both children and adults. For information about adult growth hormone deficiency, please visit www.saizenus.com.

 

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