“…This alteration has a frequency of 1 case among 4,000 to 5,000 births [Vimpani et al, 1977], of which 5-30% are known to be hereditary [Rona and Tanner, 1977]. Four IGHD types are differentiated according to their pattern of inheritance, severity, and response of the affected individuals to recombinant HGH (rHGH) treatment [Phillips and Vnencak-Jones, 1989]. Among them, type IA is an autosomal recessive disorder in which endogenous HGH is absent.…”