# KBG Syndrome: A Case Report and Longitudinal Assessment of Long‐Acting Recombinant Human Growth Hormone Therapy

**Authors:** Hui Nan, Pu Zhang, Jing Qian

PMC · DOI: 10.1002/ccr3.71744 · Clinical Case Reports · 2026-01-02

## TL;DR

A child with KBG syndrome showed significant height improvement after 20 months of long-acting growth hormone therapy without adverse effects.

## Contribution

A novel ANKRD11 gene mutation in KBG syndrome is reported, expanding the genetic spectrum of the condition.

## Key findings

- A novel c.1591delG frameshift mutation in the ANKRD11 gene was identified in a KBG syndrome patient.
- Long-acting rhGH therapy improved the child's height over 20 months without adverse reactions.

## Abstract

This case analysis examines the clinical data, molecular genetic testing results, and 20‐month clinical data of long‐acting recombinant human growth hormone (rhGH) treatment in a child with KBG syndrome (KBGS). The child exhibited a c.1591delG frameshift mutation in the ANKRD11 gene associated with KBGS, a variant not previously reported, thereby enriching the genetic mutation spectrum of KBGS. Following treatment with long‐acting rhGH, the child showed significant improvement in height without adverse reactions.

This report details a KBG syndrome male child (with novel ANKRD11 c.1591delG mutation) who had short stature. 20‐month rhGH therapy effectively improved his height without adverse reactions, supporting rhGH‘s efficacy/safety for such cases.

This report details a KBG syndrome male child (with novel ANKRD11 c.1591delG mutation) who had short stature. 20‐month rhGH therapy effectively improved his height without adverse reactions, supporting rhGH‘s efficacy/safety for such cases.

## Linked entities

- **Genes:** ANKRD11 (ankyrin repeat domain 11) [NCBI Gene 29123]
- **Diseases:** KBG syndrome (MONDO:0007846)

## Full-text entities

- **Genes:** ANKRD11 (ankyrin repeat domain 11) [NCBI Gene 29123] {aka ANCO-1, ANCO1, LZ16, T13}, GH1 (growth hormone 1) [NCBI Gene 2688] {aka GH, GH-N, GHB5, GHN, IGHD1A, IGHD1B}
- **Diseases:** KBG Syndrome (MESH:C537015)
- **Species:** Homo sapiens (human, species) [taxon 9606]
- **Mutations:** c.1591delG

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12759011/full.md

## References

17 references — full list in the complete paper: https://tomesphere.com/paper/PMC12759011/full.md

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Source: https://tomesphere.com/paper/PMC12759011