Last reviewed: November 2017
Last updated: November  2017

Summary

Differentials

Common

  • Familial short stature (genetic short stature)
  • Constitutional delay of growth and development
  • Idiopathic short stature
  • Small for gestational age (SGA) without catch-up growth by 2 years of age

Uncommon

  • Growth hormone (GH) deficiency
  • Hypothyroidism
  • Cushing's syndrome
  • GH insensitivity (Laron dwarfism)
  • Craniopharyngioma
  • Turner's syndrome
  • Noonan's syndrome
  • Russell-Silver syndrome
  • Trisomy 21
  • Prader-Willi syndrome
  • DiGeorge syndrome (velocardiofacial syndrome)
  • Coeliac disease
  • Cystic fibrosis
  • Asthma (moderate or severe)
  • Chronic heart disease (congenital or acquired)
  • Diabetes mellitus
  • Chronic renal failure
  • Juvenile idiopathic arthritis
  • Crohn's disease
  • Ulcerative colitis
  • Malignancy
  • Renal tubular acidosis
  • Rickets
  • Skeletal dysplasias (e.g., achondroplasia, hypochondroplasia, osteogenesis imperfecta)
  • Spinal disorders (irradiation, surgery, congenital deformities)
  • Psychosocial deprivation (abuse, neglect, starvation, institutionalisation)
  • Anorexia nervosa
  • Bulimia nervosa
  • Fetal alcohol syndrome
  • Stimulant medications for ADHD

Contributors

Authors VIEW ALL

Renee Bargman

Director of Pediatric Endocrinology

Nassau University Medical Center

East Meadow

NY

Disclosures

RB declares that she has no competing interests.

Maria Vogiatzi

Associate Professor of Pediatrics - Clinician Educator

Division of Endocrinology and Diabetes

Children's Hospital of Philadelphia

Philadelphia

PA

Disclosures

MV declares that she has no competing interests.

Peer reviewers VIEW ALL

Chief of the Division of Pediatric Endocrinology

Assistant Professor

UMDNJ-Robert Wood Johnson Medical School

New Brunswick

NY

Disclosures

IM declares that he has no competing interests.

Professor of Pediatrics

Director

Pediatric Endocrinology

New York University Medical Center

New York

NY

Disclosures

RD declares that he has no competing interests.

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