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Short stature - Overview

Definition of Short stature:

Short stature refers to any person who is significantly below the average height for a person of the same age and sex -- specifically, the shortest 3 - 5% of the population.

The term often refers to children or adolescents who are significantly below the average height of their peers.

Considerations:

Short stature is not necessarily a symptom or sign of a health problem. Two relatively short but healthy parents may have an entirely healthy child who is in the shortest 5%.

On the other hand, short stature may be a symptom caused by a medical condition. Since many of these conditions are treatable, the person should be examined by a health care provider. The rate of growth over time is important in determining the cause.

Common Causes:

  • Achondroplasia
  • Chronic diseases such as congenital heart disease, kidney diseases, asthma, sickle cell anemia, thalassemia, juvenile rheumatoid arthritis, and diabetes
  • Constitutional growth delay
  • Craniopharyngioma
  • Cushing's disease
  • Delayed puberty (causes temporary short stature, but normal height is eventually achieved)
  • Down syndrome
  • Hypothyroidism that develops before birth
  • Inflammatory bowel disease
  • Malabsorption disorders such as celiac disease
  • Malnutrition
  • Noonan syndrome
  • Panhypopituitarism
  • Growth hormone deficiency
  • Precocious puberty
  • Rickets
  • Russell-Silver syndrome
  • Turner syndrome
  • Williams syndrome

This list is not all-inclusive.

  • Reviewed last on: 2/27/2008
  • Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.