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Assessment of Child Anthropometry in a Large Epidemiologic Study
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[Psychosocial dwarfism, a reality: Case report].

A Mariani1, S Chalies, C Jeandel

  • 1Service de pédiatrie 1, CHU Arnaud-de-Villeneuve, 371, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France. a-mariani@chu-montpellier.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
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Summary

Psychosocial dwarfism, a rare condition, causes severe growth retardation due to disturbed mother-child relationships. Early diagnosis and intervention are crucial for a good prognosis in affected children.

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Area of Science:

  • Pediatrics
  • Child Psychology
  • Endocrinology

Background:

  • Psychosocial dwarfism is a rare but significant condition characterized by growth failure.
  • It is often linked to severe psychosocial deprivation and disturbed parent-child interactions.

Observation:

  • A 5-year-old girl presented with severe growth retardation starting at 3.5 years.
  • Clinical and biological evaluations were initially unremarkable.
  • Hospitalization revealed significant behavioral changes in the child correlated with the mother's presence and absence.

Findings:

  • The mother reported social difficulties and a lack of attachment due to an unwanted pregnancy.
  • Psychosocial dwarfism appears to stem from severe mother-child relationship disturbances.
  • Associated factors include partial growth hormone deficiency and malnutrition from feeding disorders.

Implications:

  • Early identification of psychosocial dwarfism is critical.
  • Comprehensive medical and psychological support, addressing family dynamics, is essential for recovery.
  • Prompt diagnosis and sustained follow-up lead to a favorable prognosis.