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Investigation and management of tall stature
  1. Justin H Davies1,
  2. Tim Cheetham2
  1. 1Department of Paediatric Endocrinology, Southampton Children's Hospital, Southampton, UK
  2. 2Institute of Genetic Medicine, Newcastle University, c/o Department of Paediatric Endocrinology, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
  1. Correspondence to Dr Justin H Davies, Department of Paediatric Endocrinology, Southampton Children's Hospital, Tremona Road, Southampton SO16 6YD, UK; justin.davies{at}


Referral for an assessment of tall stature is much less common than for short stature. Although the commonest cause is an underlying familial tendency to tallness, there are important disorders that should be considered at the initial assessment. Distinguishing these conditions from normal variations of growth is the key objective when managing the child and family. In some children, further targeted investigations will be needed and in rare instances intervention to limit final height may be appropriate. This article discusses a structured approach to the assessment and management of a child with tall stature.

  • Endocrinology
  • General Paediatrics

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