Tall Stature

last authored: Oct 2009, David LaPierre

 

Introduction

Tall stature in children does not necessarily correlate with adult height.

 

 

The Case of...

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Differential Diagnosis

Constitutional: most common

Endocrine: pituitary gigantism, precocious puberty, thyrotoxicosis, Beckwith-Wiedemann syndrome

genetic: Marfan syndrome, Klinefelter syndrome, Sotos syndrome, homocystinuria

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History and Physical Exam

  • history
  • physical exam

History

Physical Exam

calculate mid-parental height

hyperextensible joints, long fingers in marfan syndrome

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Investigations

  • lab investigations
  • diagnostic imaging

Lab Investigations

Diagnostic Imaging

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Management

Only required for pituitary gigantism

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Pathophysiology

 

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Resources and References

 

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Topic Development

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