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Investigation of the skin characteristics in patients with severe GH deficiency and the effects of 6 months of GH replacement therapy: a randomized placebo controlled study.
Clin Endocrinol (Oxf) 2006; 65(5):579-85CE

Abstract

OBJECTIVE

The presence of GH receptor in human skin and its appendages suggests a direct effect of GH on skin characteristics. The skin is usually thin and dry in patients with GH deficiency (GHD). Sheehan's syndrome classically refers to postpartum hypopituitarism and GH is one of the earliest pituitary hormones lost. While severe GHD is a well-established feature of Sheehan's Syndrome, skin characteristics and the effects of GH replacement therapy (GHRT) have been investigated neither in Sheehan's syndrome nor in other disorders of GHD. The aim of this study was to investigate the skin characteristics, including the sebum content, hydration (skin capacitance), transepidermal water loss (TEWL), pH and skin temperature, and particularly the effects of 6 months of GHRT on these parameters in GH deficient patients with Sheehan's syndrome.

PATIENTS AND DESIGN

Sixteen severely GH deficient women with Sheehan's syndrome (48.1 +/- 10.9 years), and 20 age and menopausal status similar women as control subjects were included. Ten patients received recombinant GH for 6 months (treatment group) and 6 patients received placebo (placebo group) during this period. Skin properties were measured at baseline and after 6 months of GHRT using noninvasive and well-established measuring methods.

RESULTS

At baseline the skin capacitance was significantly decreased on the forehead and forearm, and sebum content was significantly decreased on forehead in patients with Sheehan's syndrome compared to control subjects (P < 0.05). In the treatment group there was a significant increase in sebum content on forehead after 6 months of GHRT compared to the baseline value (P < 0.05). However there were no significant changes in other parameters including sebum content on the forearm, TEWL, Ph, skin capacitance and temperature of both the forearm and forehead. In the placebo group there were no changes in any of the evaluated parameters after 6 months of treatment compared to baseline values.

CONCLUSIONS

The present study clearly shows that the sebum content on the forehead and skin hydration of the forehead and forearm are significantly decreased in GH deficient patients with Sheehan's syndrome. However 6 months of GHRT significantly increased only the sebum content on the forehead. These data suggest that GH and/or IGF-I may have a modulatory role on several skin characteristics.

Authors+Show Affiliations

Department of Endocrinology, Erciyes University Medical School, Kayseri, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

17054457

Citation

Tanriverdi, Fatih, et al. "Investigation of the Skin Characteristics in Patients With Severe GH Deficiency and the Effects of 6 Months of GH Replacement Therapy: a Randomized Placebo Controlled Study." Clinical Endocrinology, vol. 65, no. 5, 2006, pp. 579-85.
Tanriverdi F, Borlu M, Atmaca H, et al. Investigation of the skin characteristics in patients with severe GH deficiency and the effects of 6 months of GH replacement therapy: a randomized placebo controlled study. Clin Endocrinol (Oxf). 2006;65(5):579-85.
Tanriverdi, F., Borlu, M., Atmaca, H., Koc, C. A., Unluhizarci, K., Utas, S., & Kelestimur, F. (2006). Investigation of the skin characteristics in patients with severe GH deficiency and the effects of 6 months of GH replacement therapy: a randomized placebo controlled study. Clinical Endocrinology, 65(5), pp. 579-85.
Tanriverdi F, et al. Investigation of the Skin Characteristics in Patients With Severe GH Deficiency and the Effects of 6 Months of GH Replacement Therapy: a Randomized Placebo Controlled Study. Clin Endocrinol (Oxf). 2006;65(5):579-85. PubMed PMID: 17054457.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Investigation of the skin characteristics in patients with severe GH deficiency and the effects of 6 months of GH replacement therapy: a randomized placebo controlled study. AU - Tanriverdi,Fatih, AU - Borlu,Murat, AU - Atmaca,Hulusi, AU - Koc,Cagdas Atasavun, AU - Unluhizarci,Kursad, AU - Utas,Serap, AU - Kelestimur,Fahrettin, PY - 2006/10/24/pubmed PY - 2007/6/19/medline PY - 2006/10/24/entrez SP - 579 EP - 85 JF - Clinical endocrinology JO - Clin. Endocrinol. (Oxf) VL - 65 IS - 5 N2 - OBJECTIVE: The presence of GH receptor in human skin and its appendages suggests a direct effect of GH on skin characteristics. The skin is usually thin and dry in patients with GH deficiency (GHD). Sheehan's syndrome classically refers to postpartum hypopituitarism and GH is one of the earliest pituitary hormones lost. While severe GHD is a well-established feature of Sheehan's Syndrome, skin characteristics and the effects of GH replacement therapy (GHRT) have been investigated neither in Sheehan's syndrome nor in other disorders of GHD. The aim of this study was to investigate the skin characteristics, including the sebum content, hydration (skin capacitance), transepidermal water loss (TEWL), pH and skin temperature, and particularly the effects of 6 months of GHRT on these parameters in GH deficient patients with Sheehan's syndrome. PATIENTS AND DESIGN: Sixteen severely GH deficient women with Sheehan's syndrome (48.1 +/- 10.9 years), and 20 age and menopausal status similar women as control subjects were included. Ten patients received recombinant GH for 6 months (treatment group) and 6 patients received placebo (placebo group) during this period. Skin properties were measured at baseline and after 6 months of GHRT using noninvasive and well-established measuring methods. RESULTS: At baseline the skin capacitance was significantly decreased on the forehead and forearm, and sebum content was significantly decreased on forehead in patients with Sheehan's syndrome compared to control subjects (P < 0.05). In the treatment group there was a significant increase in sebum content on forehead after 6 months of GHRT compared to the baseline value (P < 0.05). However there were no significant changes in other parameters including sebum content on the forearm, TEWL, Ph, skin capacitance and temperature of both the forearm and forehead. In the placebo group there were no changes in any of the evaluated parameters after 6 months of treatment compared to baseline values. CONCLUSIONS: The present study clearly shows that the sebum content on the forehead and skin hydration of the forehead and forearm are significantly decreased in GH deficient patients with Sheehan's syndrome. However 6 months of GHRT significantly increased only the sebum content on the forehead. These data suggest that GH and/or IGF-I may have a modulatory role on several skin characteristics. SN - 0300-0664 UR - https://www.unboundmedicine.com/medline/citation/17054457/Investigation_of_the_skin_characteristics_in_patients_with_severe_GH_deficiency_and_the_effects_of_6_months_of_GH_replacement_therapy:_a_randomized_placebo_controlled_study_ L2 - https://doi.org/10.1111/j.1365-2265.2006.02631.x DB - PRIME DP - Unbound Medicine ER -