Labels:text | screenshot | black and white | black | font | document OCR: mtly Decreased GnRH secretion, and subseq se due to decreased FSH and LH secretion, may ar r secretion. congenital defects of GnRH production patients who will It is often difficult to distinguish betwee with hypogonadotrophic hypogonadism se with never progress through puberty, and the ence who constitutional delay of growth in adoles will develop, albeit at a late age. onadism Patients with hypogonadotrophic hypog ent age tend to be of normal height until adoles ourt, they when, because of their lack of a growth s ls become shorter than age-matched contr are Patients with idiopathic GnRH deficien r to normal physically and endocrinologically simila aced prepubertal children, even at their adva chronological age
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