ADULT HEIGHT EXCEEDING TARGET HEIGHT IN A PATIENT WITH CONGENITAL PANHYPOPITUITARISM DIAGNOSED AFTER THE AGE OF 25 YEARS

This case report concerns a prepubertal patient (height 148.7 cm) with congenital anterior panhypopituitarism diagnosed at the chronological age of 25.2 years (bone age 12.5). In spite of his advanced age on in itiation of hormonal replacement therapy this patient achieved an adul t height (172.8 cm), exceeding those of his father and brothers, becau se of his markedly delayed bone age. This satisfactory height outcome confirms that final height in hypopituitarism depends on both height a t onset of puberty and height with respect to bone age but not chronol ogical age at initiation of growth hormone treatment.