Short Stature Flashcards
What is familial short stature
When genetic factors affect growth rate
What is Constitutional growth delay?
Slow growth velocity but they catch up when they grow up
What is a reason for Constitutional growth delay?
Malnutrition during gestational period
How does an endocrine disorder lead to short stature?
Growth hormone deficiency, which leads to no IGF-1, which is stimulated at the liver by the GH
What is precocious puberty?
Puberty before menstruation at the age of 8, and sexual development in males before 9
What is Disproportionate short stature linked to?
Genetic mutation
How is short stature diagnosed?
Measuring height, tracking puberty, checking family history
What lab tests do we do?
IGF-1 levels
What imaging do we do?
X-rays to correlate bone age with chronological age
How do we treat short stature caused by an underlying hormone deficiency?
Via gondotrophin releasing hormone analogs