Idiopathic short stature; Non-growth hormone deficient short stature
A child who has short stature is much shorter than children who are the same age and sex.
Your health care provider will go over your child's growth chart with you. A child with short stature's height is:
Your child's provider checks how your child is growing at regular checkups. The provider will:
There are many reasons why your child has short stature.
Most of the time, there is no medical cause for short stature.
Sometimes, short stature may be a symptom of a medical condition.
Bone or skeletal disorders, such as:
Chronic diseases, such as:
Genetic conditions, such as:
Other reasons include:
This list does not include every possible cause of short stature.
Call your provider if your child appears to be much shorter than most children his age, or if he seems to have stopped growing.
The provider will perform a physical exam. The provider will measure your child's height, weight, and arm and leg lengths.
To figure out possible causes of your child's short stature, the provider will ask about your child's history.
If your child's short stature may be due to a medical condition, your child will need lab tests and x-rays.
Bone age x-rays are most often taken of the left wrist or hand. The provider looks at the x-ray to see if the size and shape of your child's bones have grown normally. If the bones have not grown as expected for your child's age, the provider will talk more about why your child may not be growing normally.
Your child may have other tests if another medical condition may be involved, including:
Your provider keeps records of your child's height and weight. Keep your own records, too. Bring these records to your provider's attention if the growth seems slow or your child seems small.
Your child's short stature may affect her self-esteem.
TREATMENT WITH GROWTH HORMONE INJECTIONS
Most children have normal growth hormone levels and will not need growth hormone injections. If your child is a boy with short stature and delayed puberty, your provider may talk about using testosterone injections to jump start growth. But this is not likely to increase adult height.
Cohen LE. Idiopathic short stature: a clinical review. JAMA. 2014;311(17);1787-1796. PMID: 24794372
Cohen P, Rogol AD, Deal CL, et al. Wit JM: 2007 ISS Consensus Workshop participants. Consensus statement on the diagnosis and treatment of children with idiopathic short stature: a summary of the Growth Hormone Research Society, the Lawson Wilkins Pediatric Endocrine Society, and the European Society for Paediatric Endocrinology Workshop. J Clin Endocrinol Metab. 2008;93(11):4210-4217. PMID: 18782877
Cooke DW, Divall SA, Radovick S. Normal and aberrant growth in children. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Textbook of Endocrinology. 12th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 24.
Keane VA. Assessment of growth. In: Kliegman RM, Stanton BF, St Geme JW III, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 15.
Sisley S, Trujillo MV, Khoury J, Backeljauw P. Low incidence of pathology detection and high cost of screening in the evaluation of symptomatic short children. J Pediatr. 2013;163:1045. PMID: 23706358
van Gool SA, Kamp GA, Odink RJ, et al. High-dose GH treatment limited to the prepubertal period in young children with idiopathic short stature does not increase adult height. Eur J Endocrinol. 2010;162(4):653-660. PMID: 2011040
Last reviewed on: 7/10/2015
Reviewed by: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.