guidebook. - Fanconi Anemia Research Fund

Chapter 7: Endocrine Disorders in Fanconi Anemia
139
Table 3: Endocrinopathies in Children and Adolescents (ages +2SD
Low
Growth
Hormone
%
Weight and Nutrition
Abnormal
Glucose/
Insulin %
36% 44% 25%
hyperglycemia;
high insulin
72%
38% 38% (N=8)
MRI:
midline
defect 17%
(N=24)
62% 33%
(N=30);
small
pituitary
45%
(N=11)
27%
hyperglycemia;
high insulin
20%;
dyslipidemia
29%
46%
hyperglycemia;
high insulin
34% (N=39)
Abnormal
Puberty
%
Low
Bone
Mineral
%
NA
As mentioned above, the average birth weight in infants
with FA is approximately 1.8 SD below the mean; i.e.,
at the lower end of the normal range. Approximately
40% of FA children are born small for gestational age.
Nutritional and gastroenterological problems are
common in at least a quarter of FA patients and may
contribute to poor linear growth. In children with FA,
weight is generally below average for the general
population (-1.5 SD), but is significantly better than
the height, indicating that inadequate caloric intake
is not sufficient to explain the height deficit. About
one-quarter of children with FA have low weight for
height (sometimes called failure to thrive), while about
NA
Males:
64% small
gonads
Females:
delayed
menarche
28%
(N=7).
Males:
86% small
gonads
(N=22).
Females:
delay 14%
(N=7).
U of M 7-8 12 Low
bone
mineral
density in
52% of
49
children
after
HSCT
NA
NA