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. 1985 May;31:1039–1043.

Growth Retardation: An Approach to Management

Robert G McArthur
PMCID: PMC2327797  PMID: 21274151

Abstract

The physician who looks after children and teenagers is often confronted with the problem of short stature or growth failure. A major concern is when, and how extensively, to investigate the problem. From a practical standpoint, assessment can be related to height percentiles. The aims of treatment are to identify and treat appropriately the patients in whom there is an organic cause and to provide psychologic counselling and support. Common causes of growth failure are identified and a simple approach to management is outlined.

Keywords: Growth retardation, children, management

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Hamill P. V., Drizd T. A., Johnson C. L., Reed R. B., Roche A. F., Moore W. M. Physical growth: National Center for Health Statistics percentiles. Am J Clin Nutr. 1979 Mar;32(3):607–629. doi: 10.1093/ajcn/32.3.607. [DOI] [PubMed] [Google Scholar]
  2. Horner J. M., Thorsson A. V., Hintz R. L. Growth deceleration patterns in children with constitutional short stature: an aid to diagnosis. Pediatrics. 1978 Oct;62(4):529–534. [PubMed] [Google Scholar]
  3. Post E. M., Richman R. A. A condensed table for predicting adult stature. J Pediatr. 1981 Mar;98(3):440–442. doi: 10.1016/s0022-3476(81)80718-4. [DOI] [PubMed] [Google Scholar]
  4. Root A. W., Bongiovanni A. M., Eberlein W. R. Diagnosis and management of growth retardation with special reference to the problem of hypopituitarism. J Pediatr. 1971 May;78(5):737–753. doi: 10.1016/s0022-3476(71)80344-x. [DOI] [PubMed] [Google Scholar]
  5. Rosenfeld R. G., Northcraft G. B., Hintz R. L. A prospective, randomized study of testosterone treatment of constitutional delay of growth and development in male adolescents. Pediatrics. 1982 Jun;69(6):681–687. [PubMed] [Google Scholar]
  6. Schaff-Blass E., Burstein S., Rosenfield R. L. Advances in diagnosis and treatment of short stature, with special reference to the role of growth hormone. J Pediatr. 1984 Jun;104(6):801–813. doi: 10.1016/s0022-3476(84)80472-2. [DOI] [PubMed] [Google Scholar]
  7. Underwood L. E. Report of the conference on uses and possible abuses of biosynthetic human growth hormone. N Engl J Med. 1984 Aug 30;311(9):606–608. doi: 10.1056/NEJM198408303110925. [DOI] [PubMed] [Google Scholar]
  8. Van Vliet G., Styne D. M., Kaplan S. L., Grumbach M. M. Growth hormone treatment for short stature. N Engl J Med. 1983 Oct 27;309(17):1016–1022. doi: 10.1056/NEJM198310273091703. [DOI] [PubMed] [Google Scholar]

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