Child and adolescent growth disorders--an overview

Peter J Simm1, George A Werther

  • 1Royal Children's Hospital, Melbourne, Victoria, Australia. peter.simm@rch.org.au

Australian Family Physician
|September 27, 2005
PubMed

Insights

Distinguishing pathological short stature from normal growth requires careful assessment of growth parameters and medical history. Accurate diagnosis guides appropriate management and reassurance for children and parents regarding height outcomes.

Area of Science:

  • Pediatric Endocrinology
  • Growth Disorders
  • Clinical Assessment

Background:

  • Differentiating normal growth variants from pathological causes of short stature in children is crucial.
  • Parental anxiety and expectations surrounding growth issues require careful management.

Purpose of the Study:

  • To aid clinicians in distinguishing pathological short stature from normal variants.
  • To provide guidance on managing normal variants and common pediatric growth pathologies.

Main Methods:

  • Detailed patient history and physical examination.
  • Accurate assessment of growth parameters: height, weight, body proportions, and growth velocity.
  • Judicious use of diagnostic investigations.

Main Results:

  • Pathological short stature can be identified through comprehensive evaluation.
  • Growth is a dynamic process necessitating serial measurements over time.

Conclusions:

  • Distinguishing pathological short stature involves careful history, examination, growth parameter assessment, and investigations.
  • For non-pathological short stature, clear explanation and reassurance are vital for patient and parental comfort.
Abstract

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