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management, not all patients who underwent surgery initially had visual deficits, and young age was an important factor in the initial management decision. Indeed, the presence of a large macroadenoma in an otherwise healthy 40- to 60-year-old patient often
Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK
Department of Endocrinology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
School of Nursing and Midwifery, Institute of Clinical Sciences, University of Birmingham, UK
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Department of Endocrinology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
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Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK
Department of Endocrinology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
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Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK
Department of Endocrinology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
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period of GH discontinuation, illustrating the importance of evaluating QoL ( 27 , 28 ). However, these negative effects were observed only in younger males and were almost absent in older patients. In our survey, the AGHDA questionnaire remained the
Department of Health Sciences, University of Florence, Florence, Italy
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NEUROFARBA Department, University of Florence, Florence, Italy
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Department of Clinical and Experimental Biomedical Sciences “Mario Serio”, University of Florence, Florence, Italy
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Department of Health Sciences, University of Florence, Florence, Italy
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mild aortic insufficiency. The patient is now in follow-up to assess appropriate progression of puberty and response to substitution therapies. Patient 2, girl, 10 years old Patient 2 was the younger sister of patient 1. Her pre