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Table 4 Evaluation of patients with Prader-Willi syndrome during rhGH treatment

From: Recommendations for the diagnosis and management of childhood Prader-Willi syndrome in China

Management monitoring

 

Regular clinical assessment of height, weight, growth rate, body composition, pubertal status, scoliosis, IGF-1, thyroid function, and side effects every 3–6 months

 

OGTT is recommended to be performed if patients with PWS have history of impaired glucose tolerance, obese, or family history of diabetes

 

It had better have an ENT assessment and polysomnography within the first 6 months

 

The ENT assessment, polysomnography, and IGF-1 measurement are necessary, if development or worsening of sleep-disordered breathing, snoring, or enlargement of tonsils and adenoids

 

If scoliosis is a matter of concern, the X-ray orthopedic assessment can be performed

 

Routine measurement of bone age, especially during adolescence

 

Monitoring for hypothyroidism

 
  1. ENT, ear, nose, and throat; OGTT, oral glucose tolerance test