A 4-year-old presents with short stature. Further evaluation confirms a delayed bone age. The most likely diagnosis is
A) Hormonal disorder
B) Cartilage defects
C) Growth plate disorder
D) Genetic influence of the parents
Answer and Discussion
The answer is
A. Hormonal disorder
Short stature may affect children as a result of intrinsic growth defects or because of acquired extrinsic factors that impair growth.
In general, delayed bone age in a child with short stature is suggestive of an endocrinologic or systemic disorder, constitutional delay, and undernutrition.
Normal bone age in a short child is more likely to be caused by familial short stature.
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