Short stature

Short stature is a common problem among children and adolescents. For clinicians faced with a short child, a review of the prior growth data may not be possible. Understanding of normal growth and growth parameters will allow correct diagnosis of short stature. The child must have accurately-obtained height and be plotted on growth curves appropriate for age and sex. Based on history and physical exam findings, a likely etiology may be obtained and confirmed by laboratory data. Based on etiology, appropriate counseling in regard to growth prognosis, and a decision regarding referral may be made. Early diagnosis of short stature may reduce the level of behavioral and psychologic disorders that can develop in short individuals.