Endocrine abnormalities in ataxia telangiectasia: Findings from a national cohort

Andreea Nissenkorn, Yael Levy-Shraga, Yonit Banet-Levi, Avishay Lahad, Ifat Sarouk, Dalit Modan-Moses*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Ataxia telangiectasia (AT) is a genetic multisystem disorder, presenting with progressive ataxia, immune deficiency, and propensity toward malignancy. Endocrine abnormalities (growth retardation, reproductive dysfunction, and diabetes) have been described, however detailed information regarding this aspect is lacking. We aimed to characterize endocrine anomalies and growth patterns in a large cohort of AT patients. Methods: Retrospective study comprising all 52 patients (aged 2-26.2 y) followed at a national AT Clinic. Anthropometric and laboratory measurements were extracted from the charts. Results: Median height-SDS was already subnormal during infancy, remaining negative throughout follow up to adulthood. Height-SDS was more impaired than weight-SDS up to age 4 y, thereafter weight-SDS steadily decreased, resulting in progressively lower BMI-SDS. IGF-I-SDS was low (-1.53 ± 1.54), but did not correlate with height-SDS. Gonadal failure was present in all 13 females older than 10 y but only in one male. Two patients had diabetes and 10 had dyslipidemia. Vitamin D deficiency was observed in 52.2% of the evaluated patients. Conclusion: Our results suggest a primary growth abnormality in AT, rather than secondary to nutritional impairment or disease severity. Sex hormone replacement should be considered for female patients. Vitamin D levels should be followed and supplementation given if needed.

Original languageEnglish
Pages (from-to)889-894
Number of pages6
JournalPediatric Research
Volume79
Issue number6
DOIs
StatePublished - 1 Jun 2016

Fingerprint

Dive into the research topics of 'Endocrine abnormalities in ataxia telangiectasia: Findings from a national cohort'. Together they form a unique fingerprint.

Cite this