Question
My daughter is 10 years old, 126 cm tall, and weighs 20 kg. Her parents are 165 cm and 163 cm tall, respectively. She has no physical changes at the moment. I would like to inquire if she has dwarfism.
Answer
Hello! Thank you for your trust. At present, only a growth hormone test has been done, which is not enough to make a definitive diagnosis. Growth hormone is a prescription medication that must undergo strict checks before it can be determined whether it should be used. Different causes require different treatment dosages, and sometimes it may not be suitable to use growth hormone. Firstly, a growth hormone stimulation test needs to be conducted, along with checks for IGF-1 levels, liver and kidney function, blood sugar, blood routine, and pituitary CT or MRI. For girls, developmental delay may be related to Turner syndrome, so chromosomal testing is necessary for girls with dwarfism. Bone age assessment is also very important as it can predict adult height and help formulate a reasonable treatment plan. Please visit a regular hospital with a pediatric endocrinology or dwarfism and precocious puberty specialty as soon as possible. For other related information, please refer to the classic consultations and articles on my website.