Idiopathic short stature: Diagnostic and therapeutic approach

Abstract

Our clinical case for discussion is about a short statured boy who was 14.6 years old at his first evaluation. He was born after a 39-week gestation as the third child of a non-consanguineous marriage. His birth weight was 3.250 g (-0.3 SDS), and his birth length was not available. His neuropsychomotor development was normal, his school performance was good, and there were no remarkable findings in his medical history. His father's height was 174 cm (-0.1 SDS) and his mother's height was 154 cm (-1.3 SDS), resulting in a target height of 170.6 cm (-0.6 SDS). His father and mother apparently had normal pubertal development, and his mother's age of menarche was 13 years old. His older brother's height was not available, but he had a previous history of pubertal spurt after 16 years of age. Likewise, his older sister's height was also not available, but she had a previous history of menarche at 14.