Growth

Constitutional Short Stature

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Constitutional Short Stature

  • See Also
  1. Short Stature
  2. Growth Physiology
  3. Growth Assessment
  • Signs
  1. Delayed Growth and development in either parent (50%)
  2. Normal birth history
  3. Normal growth for the first several months
  4. Absence of organic or psychologic disease
  5. Discrete interval of severe growth deceleration (decreased Growth Velocity)
    1. Onset: under age 2 years (typically starting at 6 to 18 months of age)
    2. Duration: 1-3 years (Growth Velocity normalizes after period of decreased Growth Velocity)
  6. Onset Puberty delayed
    1. However, with onset of Puberty, catch-up growth occurs and normal adult height is achieved
  7. Final height appropriate for genetic height potential
  1. Bone Age mildly lags Chronological age
  • Differential Diagnosis
  1. See Short Stature
  • Evaluation
  1. See Short Stature
  • Management
  1. Expectant management and anticipatory guidance, as growth correction occurs with Puberty
  2. No referral needed to endocrinology unless other causes suspected for Short Stature
    1. However, GH Replacement may be considered if Delayed Puberty with secondary significant distress
  • References
  1. Braun (2017) Pediatr Rev 38(7): 293-304 [PubMed]