IGF-I - serum
Last updated: Wednesday, 17, March, 2004
5 mL blood in a plain tube.
| Reference Interval|
Varies with age, gender and pubertal status.
Adult: 13-50 nmol/L.
Diagnosis of acromegaly or gigantism.
Diagnosis of Laron dwarfism.
Limited value in the assessment of growth hormone deficiency or nutritional status.
Levels are increased in acromegaly, and the test is used in the initial assessment of patients, prior to a growth hormone suppression test.
Its diagnostic value is limited at the time of puberty, during malnutrition and with severe illness.
In Laron dwarfism growth hormone is not reduced but IGF-I is reduced.
Low IGF-I has been used as a test for protein malnutrition but interpretation is difficult in view of changes in plasma IGF-binding proteins.
Brabant G. Eur J Endocrinol 2003; 148:2: 15-20.