Tone like a child
Introduction
Introduction Tone-like children are clinical symptoms of pituitary short stature. Pituitary dwarfism refers to growth and development disorders caused by growth hormone deficiency in the anterior pituitary. The only effective treatment for this disease is the replacement of human growth hormone (hGH). Clinically divided into idiopathic and secondary, the former is more, accounting for 60-70% of all pituitary dwarfism, the latter due to hypothalamic-pituitary organic lesions, mainly craniopharyngioma , pineal tumors, etc. Growth and development disorders caused by growth hormone deficiency in the anterior pituitary before puberty.
Cause
Cause
Clinically divided into idiopathic and secondary, the former is more, accounting for 60-70% of all pituitary dwarfism, the latter due to hypothalamic-pituitary organic lesions, mainly craniopharyngioma , pineal tumors, etc. Growth and development disorders caused by growth hormone deficiency in the anterior pituitary before puberty. Clinically divided into idiopathic and secondary, the former is more, accounting for 60-70% of all pituitary dwarfism, the latter due to hypothalamic-pituitary organic lesions, mainly craniopharyngioma , pineal tumors, etc. The incidence of dwarfism in foreign countries is 1/5000, and no statistical data has been found in China. The only effective treatment for this disease is the replacement of human growth hormone (hGH).
Examine
an examination
Related inspection
Otolaryngology CT examination CT examination
1. Growth disorders: After one or two years of birth, the growth gradually slows down, the body is short and well-proportioned, and the appearance after adulthood is still like children, with subcutaneous fat and muscle underdeveloped; the bones are mature, the bone age is younger, and the intelligence is equal to age. .
2. Sexual developmental disorders: male penis is small, cryptorchidism, no beard, tone like a child. Women do not have menstruation, breasts are not developed, the uterus is small, the vulva is childish, and there is no mane.
Diagnosis
Differential diagnosis
The differential diagnosis of tonality like a child: the child's voice becomes the sound process of adults, called the voice change period. During the voice change period, some gay thyroid cartilage develops faster, the vocal cords develop slowly, the vocal cords are pulled tightly, the vocal cords are smaller in amplitude, the frequency is faster, and the pitch is higher. The voice is like a woman, called "male female tune." During the voice change period, some lesbian thyroid cartilage develops slowly, the vocal cords develop faster, or male hormones such as testosterone propionate are used. The vocal cords have larger amplitude, slower frequency, lower pitch and sound like a man. Called "female male tone."
