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Arch Dis Child 99:767-771 doi:10.1136/archdischild-2013-304829
  • Review

Investigation and management of short stature

Editor's Choice
  1. Justin H Davies2
  1. 1Department of Paediatric Endocrinology, Institute of Genetic Medicine, Newcastle University, Newcastle-upon-Tyne, USA
  2. 2Department of Paediatric Endocrinology, Southampton Children's Hospital, Southampton, UK
  1. Correspondence to Dr Tim Cheetham, Department of Paediatric Endocrinology, Institute of Genetic Medicine, Newcastle University, Royal Victoria Infirmary, Newcastle-upon-Tyne NE1 4LP, USA; tim.cheetham{at}nuth.nhs.uk
  • Received 13 January 2014
  • Revised 30 January 2014
  • Accepted 5 February 2014
  • Published Online First 5 March 2014

Abstract

Paediatricians need to develop a strategy for assessing and managing the short child because it is a common reason for referral to paediatric services. Understanding what is normal is a key prerequisite to the appropriate assessment of the short child. Most pathological causes of short stature will be associated with clues in the history or on examination. Factors that should trigger a more detailed assessment of the short child include malaise, dysmorphic features, slow growth and small size with a normal weight centile. Establishing that the healthy short child is growing appropriately for their family size can be reassuring for the family and clinician and will facilitate discharge.

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