Ca. Stratakis et al., Dysregulation of the hypothalamic-pituitary-adrenal axis in short childrenwith and without growth hormone deficiency, J PED END M, 13(8), 2000, pp. 1095-1100
The effects of L-dopamine (LD) administration and insulin-induced hypoglyce
mia in adrenocorticotropin (ACTH) and cortisol secretion were studied in 14
short boys. LD caused moderate changes in both hormones. The four boys wit
h isolated, idiopathic growth hormone (GH) deficiency (IGD) demonstrated a
greater cortisol increase in response to hypoglycemia than the 10 boys with
normal GH secretion. In at least some short children with IGD, abnormal re
gulation of the hypothalamic-pituitary-adrenal axis may be present.