Short stature resident survival guide

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eman Alademi, M.D.[2]

Overview

Causes

Common Causes

Systemic disorders with secondary effects on growth[1][2][3]: Undernutrition [4], Glucocorticoid therapy[5][6][7][8][9][10], Gastrointestinal disease[11][12][13][14], Rheumatologic disease[15] [16][17], Chronic kidney disease[18], Cancer[19][20], Pulmonary disease,Cardiac disease, Immunologic disease, Metabolic diseases,

Endocrine causes of growth failure, Cushing syndrome, Hypothyroidism, Growth hormone deficiency

Genetic diseases with primary effects on growth, Turner syndrome, SHOX gene variants, Prader-Willi syndrome, Noonan syndrome, Silver-Russell syndrome ,

Skeletal dysplasias/growth plate abnormalities,

Other causes of short stature that may be pathologic

Diagnosis

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.

 
 
 
Diagnosis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
Treatment
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References

  1. ↑ Biederman J, Spencer TJ, Monuteaux MC, Faraone SV (2010). "A naturalistic 10-year prospective study of height and weight in children with attention-deficit hyperactivity disorder grown up: sex and treatment effects". J Pediatr. 157 (4): 635–40, 640.e1. doi:10.1016/j.jpeds.2010.04.025. PMC 2943875. PMID 20605163.
  2. ↑ Swanson JM, Elliott GR, Greenhill LL, Wigal T, Arnold LE, Vitiello B; et al. (2007). "Effects of stimulant medication on growth rates across 3 years in the MTA follow-up". J Am Acad Child Adolesc Psychiatry. 46 (8): 1015–1027. doi:10.1097/chi.0b013e3180686d7e. PMID 17667480.
  3. ↑ Faraone SV, Biederman J, Morley CP, Spencer TJ (2008). "Effect of stimulants on height and weight: a review of the literature". J Am Acad Child Adolesc Psychiatry. 47 (9): 994–1009. doi:10.1097/CHI.ObO13e31817eOea7. PMID 18580502.
  4. ↑ Lifshitz F, Moses N (1988). "Nutritional dwarfing: growth, dieting, and fear of obesity". J Am Coll Nutr. 7 (5): 367–76. doi:10.1080/07315724.1988.10720254. PMID 3053861.
  5. ↑ Lai HC, FitzSimmons SC, Allen DB, Kosorok MR, Rosenstein BJ, Campbell PW; et al. (2000). "Risk of persistent growth impairment after alternate-day prednisone treatment in children with cystic fibrosis". N Engl J Med. 342 (12): 851–9. doi:10.1056/NEJM200003233421204. PMID 10727589.
  6. ↑ Doull IJ, Freezer NJ, Holgate ST (1995). "Growth of prepubertal children with mild asthma treated with inhaled beclomethasone dipropionate". Am J Respir Crit Care Med. 151 (6): 1715–9. doi:10.1164/ajrccm.151.6.7767512. PMID 7767512.
  7. ↑ Wolthers OD, Pedersen S (1991). "Growth of asthmatic children during treatment with budesonide: a double blind trial". BMJ. 303 (6795): 163–5. doi:10.1136/bmj.303.6795.163. PMC 1670402. PMID 1878641.
  8. ↑ Punthakee Z, Legault L, Polychronakos C (2003). "Prednisolone in the treatment of adrenal insufficiency: a re-evaluation of relative potency". J Pediatr. 143 (3): 402–5. doi:10.1067/S0022-3476(03)00294-4. PMID 14517528.
  9. ↑ Allen DB, Julius JR, Breen TJ, Attie KM (1998). "Treatment of glucocorticoid-induced growth suppression with growth hormone. National Cooperative Growth Study". J Clin Endocrinol Metab. 83 (8): 2824–9. doi:10.1210/jcem.83.8.5036. PMID 9709954.
  10. ↑ Allen DB (1996). "Growth suppression by glucocorticoid therapy". Endocrinol Metab Clin North Am. 25 (3): 699–717. doi:10.1016/s0889-8529(05)70348-0. PMID 8879994.
  11. ↑ Hernández M, Argente J, Navarro A, Caballo N, Barrios V, Hervás F; et al. (1992). "Growth in malnutrition related to gastrointestinal diseases: coeliac disease". Horm Res. 38 Suppl 1: 79–84. doi:10.1159/000182576. PMID 1284243.
  12. ↑ Vasseur F, Gower-Rousseau C, Vernier-Massouille G, Dupas JL, Merle V, Merlin B; et al. (2010). "Nutritional status and growth in pediatric Crohn's disease: a population-based study". Am J Gastroenterol. 105 (8): 1893–900. doi:10.1038/ajg.2010.20. PMID 20145606.
  13. ↑ Sawczenko A, Sandhu BK (2003). "Presenting features of inflammatory bowel disease in Great Britain and Ireland". Arch Dis Child. 88 (11): 995–1000. doi:10.1136/adc.88.11.995. PMC 1719349. PMID 14612366.
  14. ↑ Sanderson IR (2014). "Growth problems in children with IBD". Nat Rev Gastroenterol Hepatol. 11 (10): 601–10. doi:10.1038/nrgastro.2014.102. PMID 24957008.
  15. ↑ Bechtold S, Roth J (2009). "Natural history of growth and body composition in juvenile idiopathic arthritis". Horm Res. 72 Suppl 1: 13–9. doi:10.1159/000229758. PMID 19940490.
  16. ↑ Polito C, Strano CG, Olivieri AN, Alessio M, Iammarrone CS, Todisco N; et al. (1997). "Growth retardation in non-steroid treated juvenile rheumatoid arthritis". Scand J Rheumatol. 26 (2): 99–103. doi:10.3109/03009749709115826. PMID 9137323.
  17. ↑ de Zegher F, Reynaert N, De Somer L, Wouters C, Roelants M (2018). "Growth Failure in Children with Systemic Juvenile Idiopathic Arthritis and Prolonged Inflammation despite Treatment with Biologicals: Late Normalization of Height by Combined Hormonal Therapies". Horm Res Paediatr. 90 (5): 337–343. doi:10.1159/000489778. PMID 29940586.
  18. ↑ McSherry E, Morris RC (1978). "Attainment and maintenance of normal stature with alkali therapy in infants and children with classic renal tubular acidosis". J Clin Invest. 61 (2): 509–27. doi:10.1172/JCI108962. PMC 372562. PMID 621287.
  19. ↑ Nandagopal R, Laverdière C, Mulrooney D, Hudson MM, Meacham L (2008). "Endocrine late effects of childhood cancer therapy: a report from the Children's Oncology Group". Horm Res. 69 (2): 65–74. doi:10.1159/000111809. PMID 18059086.
  20. ↑ Clayton PE, Shalet SM, Morris-Jones PH, Price DA (1988). "Growth in children treated for acute lymphoblastic leukaemia". Lancet. 1 (8583): 460–2. doi:10.1016/s0140-6736(88)91246-9. PMID 2893877.


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