[The key is not to delay seeking medical attention if you find you are short]
During the consultation, Director Tan Chuanmei learned that Xiaozhi’s (pseudonym) father’s height is 160cm and his mother’s height is 158cm. Xiaozhi’s (pseudonym) genetic height (can assess growth) potential) can reach 165±5cm.
However, after Director Tan Chuanmei completed a physical examination on Xiaozhi (pseudonym), he found that the height of 9.7-year-old Xiaozhi (pseudonym) was only 123.7cm, and the adult height predicted by could only reach 159cm.
The bone age result was 7.5 years old, which was 2.2 years lower than the actual age. After completing the growth hormone stimulation test, the results showed normal, indicating that the child did not lack growth hormone . Combined with other series of examinations, Xiaozhi (pseudonym) was finally diagnosed The diagnosis was " idiopathic dwarfism ".
Director Tan Chuanmei told parents that "idiopathic dwarfism" is a very common type of short stature disease, which means that the child's height is lower than the average height of normal healthy children of the same race, age, and gender.
However, after systematic examination, it is often found that the growth hormone levels of these children are normal, there are no adverse phenomena such as premature birth at birth, and a series of basic diseases such as endocrine, nutritional, chromosomal abnormalities, , etc. have been ruled out. In short It is a short stature disease whose cause is not yet clear.
In the summary of short stature children in my country, idiopathic short stature accounts for a high proportion of 60% to 70%.
[After one and a half years of treatment, the child’s height has increased to 14.1cm, and the child’s body and mind have returned to normal]
Based on the systematic examination results and Xiaozhi’s physical condition, Director Tan Chuanmei recommended growth hormone treatment , and cooperate with adjusting the diet and ensuring adequate For sleep and exercise intervention, come to the hospital for follow-up consultation every 3 months..
During the follow-up visit, Director Tan Chuanmei made a professional assessment of the effectiveness and safety of the treatment plan, and the treatment continued and stably for a year and a half.
It was not until the beginning of this year that Xiaozhi (pseudonym) came to the hospital for a review again. This time, he was given a comprehensive review, including a head MRI . The examination found that everything was normal for Xiaozhi (pseudonym) without any symptoms of discomfort. of production.
What is even more surprising is that Xiaozhi (pseudonym), whose height increased by about 4cm every year before treatment, reached 137.8cm at the age of 11.2 after one and a half years of treatment, and has grown a total of 14.1cm!
At this time, the bone age test was only 9.1 years old, and the predicted adult height reached 172.5cm.
This result makes Xiaozhi (pseudonym) and his family very happy, and Xiaozhi (pseudonym) himself is obviously much more cheerful than before treatment.
[Parents discover early to avoid the risk of their children becoming shorter]
Parents, if you find that your baby has height problems, don’t be careless!
Failure to intervene in time may miss the child's best treatment period, making height problems a lifelong regret for the child!
(Editor Rainbow.)
Hunan Medical Chat special author: Hunan Women and Children's Hospital Cao Han
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