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Jan van Goyen Medical Center, Department of Internal Medicine, Amsterdam, the Netherlands
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Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
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Frohner A Dimai HP . Pregnancy- and lactation-associated transient osteoporosis of both hips in a 32 year old patient with osteogenesis imperfecta . Bone 2012 51 142 – 144 . ( https://doi.org/10.1016/j.bone.2012.04.013 ) 10.1016/j.bone.2012
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variant (c.136+1G>A) in growth hormone receptor ( GHR ) which has not been verified to be related to 46,XY DSD. The 5-year-old patient presented with dominant female external genitalia, suspicious uterine-like structure between bladder and rectum, absent
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, but only after HC replacement has been implemented to avoid precipitating an adrenal crisis ( 33 , 56 ). We recommend starting with a low dose of levothyroxine (25–50 μg/day), especially in older patients and those with coronary artery disease, and
Developmental Endocrinology Research Group, University of Glasgow, Glasgow, UK
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Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK
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The University of Dublin, Trinity College Dublin, Dublin, Republic of Ireland
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Skin picking is frequently seen in PWS ( 212 ). Sepsis secondary to skin ulceration is a known cause of death in older patients ( 8 ). Keeping nails short and using moisturisers, covering minor skin lesions, together with distraction techniques may help