Short stature

Causes

Appropriate Tests

 

Clinical history, including family history, and measurement of growth over a period of time.

Pathology tests may be appropriate to identify underlying cause.

Constitutional growth delay

 

Normal variation

 

Intra-uterine growth retardation

 

Malnutrition

 

Systemic disease

  • Renal failure - chronic
  • Chronic infection/inflammation

 

Hypothyroidism

 

Pituitary/hypothalamic disorders, especially

 

  • Growth hormone deficiency

See Hypopituitarism - growth hormone

Androgen excess, especially

 

  • Congenital adrenal hyperplasia

See under Adrenocortical insufficiency

Genetic/chromosomal abnormalities, including

 

  • Gonadal dysgenesis (Turner syndrome)

See under Amenorrhoea

  • Mucopolysaccharidoses (some)

See under Lysosomal storage diseases

  • Achondroplasia

Molecular genetics if available.