TALL STATURE

TALL STATURE Tall Stature Other Obvious Abnormalities/Stigmata Disproportionate Early Puberty Onset GH Excess Hyperthyroidism Normal Growth Familial Tall Stature XYY Syndrome > 97th Percentile Detailed History, Physical Exam, and Mid-Parental Target Height Accelerated Growth Exogenous Obesity Normal Puberty Onset Proportionate Obese BMI Klinefelter's Syndrome (XXY) Soto's Syndrome/ Cerebral Gigantism Marfan's Syndrome Homocystinuria Sex Steroid Deficiency/ Resistance Acromegaly (Rare in Children) Bechwith-Weidmann Syndrome (Normalizing growth after birth) Weaver Syndrome XYY Syndrome Neurofibromatosis 1 Hyperthyroidism (Untreated/Severe) Non-Obese BMI Precocious Puberty Adrenal Tumor Ovarian Tumor Testotoxicosis Congenital Adrenal Hyperplasia Constitutional Constitutional Tall Stature (Early Bloomer)(BA=CA)(BA>CA) No Other Obvious Abnormalities/Stigmata