Question
A child born on March 27, 2003, was found to have complete growth hormone deficiency at the age of 10 (August 13 years old), with a bone age assessment of 9.2 years. One year later, the bone age grew to 11.3 years. Over the next 15 months, growth hormone injections were administered, but the child only grew 10 millimeters, with the dosage nearly reaching 0.15 units. With insufficient vitamin D levels, an examination in November of this year showed a bone age of approximately 10 to 11 years old. The growth rate during the injection period was acceptable, and the child experienced growth pains. They are currently supplementing calcium and increasing physical activity.
Answer
After 15 months of growth hormone injections, the patient gained only 10 millimeters in height. During this period, vitamin D levels were insufficient, necessitating supplementation. Additionally, to improve growth conditions, the patient began increasing their level of physical activity. Although the growth rate during the injection period was acceptable, it is still necessary to monitor the development of the bone age and adjust the treatment plan accordingly.