Patient's question:
My daughter is much smaller than other children her age, not just in height but also in weight. I thought she would grow taller later, but there haven't been any signs of change for a long time. The doctor said it's due to dwarfism. What kind of help is needed: What detailed tests are required for dwarfism?Doctor's answer:
Taking blood randomly to test GH is not meaningful for diagnosis, but if the random blood GH level is significantly lower than normal (>10ug/L), GHD can be ruled out. Once GHD is confirmed through endocrine examination, it is necessary to carefully evaluate the other functions of the hypothalamic-pituitary axis. Based on clinical manifestations, tests such as TSH, T4, or TRH stimulation test and GnRH stimulation test can be chosen to assess the function of the hypothalamic-pituitary-thyroid axis and the gonadal axis.