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Thomas J. Merimee, MD. Department of Medicine, Boston University School of Medicine, Boston, Massachusetts -:·7102 This brief discussion wm consider those forms of dwarfism characterized either by a mono tropic deficiency of human growth hormone (HGH) (a defect in synthesis and/or release), a defect in the ability of HGH to generate sulfation factor, or end organ subresponsiveness to exogenous or endogenous HGH. Although there is controversy over what term should be used to describe such dwarfs, the term ateliosis is historically correct, and a somewhat neutral term is useful if it is rigor ously defined as in the preceding sentence. Although interest in dwarfism has existed for centuries, it was not until 1902 that Guilford (1) proposed the first systematic classification based upon the simple observation that dwarfs appear to be of two major types: those with and those without obvious physical abnormalities. For the latter group, now known more popularly as midgets, Guilford used the term ateliosis (ateliosis not arriving at perfection), since he considered this form of dwarfism a disorder in which growth and development were not arrested but in which both were retarded. He recognized, likewise, that some of these patients attained sexual maturity whereas
Annual Review of Medicine – Annual Reviews
Published: Feb 1, 1974
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