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Living with Isolated growth hormone deficiency type IB

An inherited hormone condition in which the body makes low amounts of growth hormone, causing short height and slower bone growth.

Understanding Isolated growth hormone deficiency type IB

Isolated growth hormone deficiency type IB is a rare inherited condition that affects how much growth hormone the body makes and how bones grow.

People have low but still detectable levels of growth hormone. This can lead to being much shorter than typical and delayed bone growth, which an X-ray can show. It is seen in newborns and infants.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Short stature
  • Delayed bone growth (skeletal maturation)
  • Low growth hormone level
  • Poor response to growth hormone testing
  • Small hands and feet (acromicria)
  • Small penis (micropenis)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in GH1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Raymond A. Wood Foundation and Pituitary Network Association may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: Raymond A. Wood Foundation, Pituitary Network Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Raymond A. Wood Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for GH1 or GHRHR confirm this type?
How is my child's bone growth tracked with X-rays?
Should we see a pediatric endocrinologist (hormone specialist)?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesGH1

Changes in the GH1 gene or the GHRHR gene cause this disease. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticEndocrine

Also known as: congenital ighd type ib; congenital isolated gh deficiency type ib; congenital isolated growth hormone deficiency type ib; dwarfism of sindh; growth hormone deficiency, isolated, type ib; ighd 1b

Patient organizations

Source: NIH GARD · Isolated growth hormone deficiency type IBGARD ID 3919 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Isolated growth hormone deficiency type IB.

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