Mason A, Gerasimidis K, Iljuhhina J, Laird S, Munro J, Gaya DR, Russell RK, Ahmed SF. Long-Term Skeletal Disproportion in Childhood-Onset Crohn's Disease.
Horm Res Paediatr 2018;
89:132-135. [PMID:
29212077 DOI:
10.1159/000485185]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2017] [Accepted: 11/07/2017] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND
It is unclear whether Crohn's disease (CD) is associated with skeletal disproportion in adulthood.
METHODS
Height (Ht), sitting height (SHt) and leg length were studied in 44 children (male: 22), 23 adults (male: 10) with childhood-onset (CO) CD and 26 adults (male: 9) with adult-onset (AO) CD with a median (range) age of 13.7 (10, 17.3), 21.5 (18, 32) and 31.0 (22, 40) years, respectively.
RESULTS
Adults with CO-CD had a median Ht standard deviation score (SDS) of -0.9 (-2.3, 0.0) compared to 0.6 (-0.8, 1.0) in those with AO-CD (p < 0.05). Compared to a normal population, men, but not women, with CO-CD also had lower median SHt SDS at -1.1 (2.5, -0.5) (p < 0.05). The expected positive association that is normally found between leg length and SHt SDS was not evident in the adults with CO-CD.
CONCLUSION
Short stature in adults with CO-CD is more pronounced in men and may be associated with poor spinal growth.
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