Short stature


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




Systemic disease

  • Renal failure - chronic
  • Chronic infection/inflammation




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.