Abstract
The evaluation of Height (H),Weight (W),Bone Age (BA),Cortical Thickness(CT) and Metacarpal Diameter (MD) by the Standard Score Method (SD-Score) provides a useful diagnostic information.The SD-Score is typical in some conditions and suggests the diagnosis for the general paediatrician.We have analysed 4 groups of patients suffering from GH-Deficiency (GH-D,n 23),Primary Hypothyroidism (PH,n 29),constitutional Growth Delay (CGD,n 49) and Coeliac Discase (CD,n 10, mean age 14,1 months).As normal values for the age we used those of the Growth Center of Zürich(Prader). The diagnosis of the coeliac patients was made according to the ESGAN requisites.GH was stimulated in all cases with 2 tests at least and additionally with N-Retention test in some cases.The HGH treatment confirmed the GH deficiency in all cases.
As illustrated the most influenced parameter in the GH-Deficiency is the Height followed by the Bone Age and Metacarpal Diameter, the same aplies in the CGD concerning H,W and BA but to a leser extent whilst the Bone Age is more affected than Height in PH. In the young coeliac patients only the Weight is retarded.CT and MD are more affected in the GH-Deficiency group.
Article PDF
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ferrandez, A., Mayayo, E., Bastaros, J. et al. Clinical diagnosis of different growth disorders. Pediatr Res 15, 1570 (1981). https://doi.org/10.1203/00006450-198112000-00208
Issue Date:
DOI: https://doi.org/10.1203/00006450-198112000-00208