LONG-TERM FOLLOW-UP OF A 4-YEAR-OLD BOY WITH RECURRENT HYPOGLYCEMIA AND CHOLESTASIS IN CONGENITAL GROWTH-HORMONE DEFICIENCY

We report on a four-year-old boy with congenital growth hormone deficiency who first presented at age 13 weeks with jaundice and recurrent hypoglycemia. Growth hormone deficiency was diagnosed two years later, after cholestasis and hypoglycemia had almost completely disappeared, but length deficiency became apparent. The reason for the association of cholestasis with growth hormone deficiency remains unexplained. Cholestasis can, especially in combination with hypoglycemia, be a first sign of congenital growth hormone deficiency.