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Correspondence
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Volume 350:1906 April 29, 2004 Number 18
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Circulating IGF-I Deficiency and Inactivation of the Acid-Labile Subunit Gene

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 by Domené, H. M.
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To the Editor: Domené et al. (Feb. 5 issue)1 describe a boy with homozygous inactivation of the IGFALS gene, which encodes the acid-labile subunit (ALS) of insulin-like growth factor I (IGF-I) who had delayed puberty and moderate growth impairment. However, his height, when considered as a function of bone age, was only about 1 SD below the mean normal. The association of this gene defect with delayed puberty may prove fortuitous. In other rare cases, persons with inactivation of the IGFALS gene may not be considered short, and their total IGF-I may not be measured. Changes in height and progression . . . [Full Text of this Article]


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