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Paediatric

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Endocrinology

Question
2 out of 35
 

Characteristic features of growth hormone deficiency include all of the following except- (AIIMS Nov 2013)



A Short stature since birth

B Symptomatic hypoglycemia

C Delayed tooth eruption

D Sexual infantilism

Ans. A

Short stature since birth

The child with hypopituitarisrn is usually of normal size and weight at birth

Here is a differential diagnosis of Short stature

See the following table:

Constitutiona

Delat

Familial short

Stature

Hypopituitarism

Hypothyroidism

Turner

Syndrome

Family history

Birth weight

and height

Pattern of growth

Epiphyseal

Development

Puberty

GH Levels

Gonadotropins

+ve

Normal

Slow from

Infancy

Moderate

Progressive

Retardation

Delayed

Normal

Normal

+ve

Low

Slow from

Birth

Normal

Normal

Normal

Normal

Usually –ve

Normal

Slow from a few months after birth

Progressive

Retardation

Delayed

Low

Low except in

Isolated GHD

-ve

Normal

Slow from

Birth

Severa retardation

Delayed Normal

Variable

Usually –ve

Low

Slow from birth

Variable

Delayed

Variable

High

Endocrinology Flashcard List

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