Metabolic syndrome and endocrine dysfunctions after HSCT in children

Rajinder Bajwa, Micah Skeens, Amy Garee, Yongjie Miao, Sandeep Soni, Daniel Pietryga, Thomas Gross, Amanda Termuhlen

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

MS and endocrine dysfunction(s) are common well-recognized complications after HSCT. We retrospectively analyzed our data on 160 patients with a median age at transplant of five yr (0.3-23), who had been followed for a median of seven yr (range 3-18) at Nationwide Children's Hospital after transplant. Dyslipidemia and MS were seen in 13% and 7.5% patients, respectively, and 58% of these patients were <20 yr of age. Twelve patients met the criteria for diagnosis of MS, but four of these did not meet the International Diabetic Federation or WHO criteria. Variation in the diagnostic criteria for MS leading to underdiagnosis is discussed. Female gonadal failure (27%) and hypothyroidism (21%) were the most common endocrine dysfunctions, followed by short stature and GH deficiency (17%) each. TBI and younger age at HSCT were associated with the highest burden of long-term effects, and female sex was more significantly associated with MS-related dysfunction (p < 0.05). Uniform diagnostic criteria for MS and close follow-up after transplant are important for the early diagnosis and management of these late effects, thereby improving the overall quality of life of these patients.

Original languageEnglish (US)
Pages (from-to)872-878
Number of pages7
JournalPediatric transplantation
Volume16
Issue number8
DOIs
StatePublished - Dec 2012
Externally publishedYes

Keywords

  • dyslipidemia
  • endocrine dysfunction
  • long-term complications
  • metabolic syndrome

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  • Cite this

    Bajwa, R., Skeens, M., Garee, A., Miao, Y., Soni, S., Pietryga, D., Gross, T., & Termuhlen, A. (2012). Metabolic syndrome and endocrine dysfunctions after HSCT in children. Pediatric transplantation, 16(8), 872-878. https://doi.org/10.1111/petr.12002