Pycnodysostosis is a skeletal dysplasia characterized by short stature
. Treatment of pycnodysostosis with growth hormone (GH) has not been r
eported so far. We describe a case of pycnodysostosis with growth horm
one deficiency in addition to low mean insulin-like growth factor 1 (I
GF-1) concentration. Complete GH deficiency was determined by two phar
macological provocative tests (insulin and L-dopa). A good height velo
city response was obtained after GH replacement treatment. Pycnodysost
osis with GH deficiency and replacement therapy have not been reported
previously, to the best of our knowledge.