SHORT STATURE

• Chronic steroid use • Radiation and Chemotherapy • Bone Marrow Transplant • Skeletal Dysplasias (Eg. Achondroplasia) • Rickets •Nutrition and Feeding issues* •Neglect* •Disordered Eating* • Intrauterine Growth Retardation/Small for Gestational Age* • Fetal Alcohol Spectrum Disorder* •Trisomy 21* •Turner Syndrome* •Prader-Willi Syndrome •Russell-Silver Syndrome Familial Short Stature* Constitutional Delay* Short Stature Growth Problems: Clinical approach to Short Stature Author: Dr. Theresa Wu Reviewer: Dr. Leanna McKenzie *Indicates Key Condition This is not an exhaustive list of medical conditions. Pathological Disproportionate Proportionate Dysmorphic Non-Dysmorphic Non-pathological/Normal variant Psychosocial Chronic Disease Iatrogenic Endocrinopathy Intrauterine Insults Height <3rd Percentile Detailed History, Physical Exam, and Mid-Parental Target Height Assess bone age Bone Age = Chronological Age Bone Age < Chronological Age Weight disproportionately low (<3rd %) • GI (i.e. Celiac Disease*, IBD*) • Renal (Eg. Renal failure*) • Cardiopulmonary (i.e. Cystic Fibrosis*, Congestive Heart Failure*) • Hypothyroidism* • Cushing’s Disease • Growth Hormone Deficiency • Congenital Adrenal Hyperplasia • Panhypopituitarism Weight appropriate for height Concerning symptoms: Low weight, dysmorphic, delayed puberty Otherwise well