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Pediatric Endocrinology   (Expert Forum)
 | 
Advanced Bone Age for my 12 yr son
Answered by
Deanna L Aftab Guy, MD - Short Stature, thyroid, Pituitary abnormalit, Puberty concerns, Rapid Growth, Adrenal problems, Parathyroid abnormal, Rickets and bone dis
Vanderbilt Children’s Hospital Nashville - TN
Questions in the Pediatric Endocrinology forum are answered by Dr. Deanna L Aftab Guy, affiliated with Vanderbilt Children's Hospital. Topics covered include adrenal problems, diabetes insipidus, menstrual irregularities, obesity, parathyroid abnormalities, pituitary abnormalities, puberty concerns, rapid growth, rickets and bone disease, short stature, and thyroid.

Advanced Bone Age for my 12 yr son

by debbie_deb, May 17, 2008 12:26AM
My son at 10 had advanced bone age of 12.  Now he is 12 and his bones say 14.5  he is still shorter than his whole class,sports, he is teased.  He has been on growth hormone for 6 month and he is growing, however, my medical wont cover it because they think he has normal growth.  We have been in appeals for over 6 months. Does anyone have info that would be helpful to write in this appeal letter?  Advanced bone age for him tells his body that he is almost done growing and we are running out of time. He is already in level 5 puberty, and his feet are mens 9, big hands, but very short.  He is only 4' 9".  There are 4th graders taller than he is.  My daughter is 6 and she is almost there. HELP! I hate insurance companies.  I need facts that will help me win.

by Deanna L Aftab Guy, MD, May 25, 2008 10:18AM
To: debbie_deb
who is your ped endo?, their office can and should help with the appeals and once the appeals has run out many gh companies have assistance. Also with advanced bone age there may be a strong reason to start another medication called Lupron.
I agree our office fights this left and right and I often have to do a "peer to peer review" on the phone with some doctor who knows nothing about gh who works at the insurance company
Member Comments (4)

by sla_sla, Jun 23, 2008 10:01PM
To: debbie-deb
Hi, My son's bone age is also 2 years more than his actual age.  Our pedeatric endocronologist didn't recommend Lupron for my son because based on other tests he hadn't actually started purberty as your son has.  So Lupron may be the answer for your son, but you may also want to look into a drug called Letrozole which delays bone maturation (fusion) and this with a growth hormone can increase overall final adult hight by 2 inches.   Good luck.

by Deanna L Aftab Guy, MD, Jul 08, 2008 08:30PM
To: sla_sla
see my posting to your comment in the forum

by cdrobinson, Jul 15, 2008 06:04PM
To: debbie-deb
Has any doctors ever mentioned having the pituitary checked?  This is a huge sign that the pituitary might be producing to much growth hormone.  Just an idea.  You can get lots of information at http://www.pituitary.org/.  My son is 15 & has a pituitary adenoma & the doctors all look at how he's growing.  

Just thought I would throw a line your way.  Hope all is well.
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