Patient's question:
My daughter's actual age is 9 and a half years old, bone age is 8 years old, height is 130 cm, weight is 21 kg, and a lump has just been found in the right breast. The father's height is 170 cm, and the mother's height is 158 cm. Based on this situation, how much height will the child have in the future? What should be done now?Doctor's answer:
Child dwarfism refers to a height below the average height minus two standard deviations for age. If the height falls below this level, it is considered that the child may have dwarfism. However, dwarfism should also be evaluated based on the child's growth rate. If the recent growth rate is good, it may be due to some nutritional or health issues that affected the child's height growth in the past. If the growth rate is also slow, specific causes should be identified. Common causes include dysfunction of other organs and endocrine abnormalities. The most common causes are abnormal nutritional status in children, kidney problems, liver problems, or growth hormone deficiency. Different solutions should be adopted based on the specific causes.