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In one study, 52% of people with familial cases of multiple pituitary hormone insufficiency had a mutation in one of the five frequently altered genes (POU1F1, PROP1, LHX3, LHX4, and HESX1) (MPHD)
Diagnosis
Congenital hypopituitarism (CH) is an uncommon condition marked by the absence of one or more pituitary hormones (incidence: 1:350–10,000 births) (1, 2). Isolated growth hormone deficiency (IGHD) and mixed pituitary hormone shortages are two different clinical presentations (CPHD).
Hypopituitarism can occasionally result from a hereditary mutation (inherited). These mutations, which frequently begin at birth or in early infancy, impair the pituitary gland's capacity to generate one or more of its hormones.
When TSHR, DUOX2, or PAX8 gene mutations cause congenital hypothyroidism, the condition is inherited in an autosomal dominant manner, which means that only one copy of the mutated gene needs to exist in each cell for the illness to manifest.
The release of growth hormone is typically affected first, followed by gonadotrophins, TSH, and ACTH. Hypopituitarism typically develops in this order. Except in Sheehan's syndrome, which is linked to lactation failure, prolactin insufficiency is uncommon.
A genetic disorder that impairs the growth of the hypothalamus, a region of the brain that transmits signals to the pituitary, or pituitary tumours or other tumours that press against either the pituitary or the hypothalamus may be the cause of hypopituitarism in children. to the head with radiation.
Poor weight gain, hypoglycemia, jaundice, and cholestasis are only a few of the non-specific clinical signs and symptoms of congenital hypopituitarism; midline abnormalities are among the examination results.
Adults with idiopathic central diabetes insipidus have autoimmune illness more frequently than anterior hypopituitarism.
Pituitary tumours A pituitary adenoma is one of the most frequent causes of primary hypopituitarism (a benign, or noncancerous, tumor).
Risk Elements
Childhood cancer history; some treatments can harm the pituitary. Infections. specific genetic alterations. diabetes type 1.
A pituitary tumour or a brain injury are frequent causes of hypopituitarism in children. There is frequently no definite cause. Slow growth, modest stature, and delayed or nonexistent sexual maturity are typical signs. One could use hormone replacement therapy.
The most frequent causes of thyroid hormone insufficiency at birth are disorders of thyroid hormone production or problems with thyroid gland development (dysgenesis) (dyshormonogenesis).
Test Type | Congenital Hypopituitarism Gene Panel |
Includes | Congenital Hypopituitarism Gene Panel (Pathology Test) |
Preparation | |
Reporting | Within 24 hours* |
Test Price |
₹ 21500
|
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