ETIOLOGICAL PROFILE OF SHORT STATURE IN CHILDREN PRESENTING TO A TERTIARY CARE HOSPITAL
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Keywords
Short stature, growth disorders, pediatric endocrinology, constitutional delay, growth hormone deficiency, hypothyroidism, nutritional deficiency.
Abstract
Introduction: Short stature for height complaint is prevalent in both the first and second tiers of healthcare delivery and may be attributed to physical health, endocrine, nutrition, genetic or systematic, and acquired conditions. This paper aims to establish the need for early identification of the patient’s condition and administration of the right course of action to improve growth results and quality of life quality.
Objective: To establish the prevalence of short stature in children attending a tertiary care hospital and investigate the common causes of short stature.
Materials and Method: The present cross-sectional study was conducted Department of Diabetes and Endocrinology, Lady Reading Hospital, Peshawar, from April, 2024 to September, 2024. The children included in the study were 120 children of short stature aged 2 –18 years with clinical history, general examination, laboratory examination, and radiological examination.
Results: These include constitutional delay of growth 23.3%, short stature due to family history 16.7%, growth hormone deficiency 15%, nutritional causes 13.3%, and hypothyroidism 10%. The other diagnoses that were also noted included chronic illnesses, syndromes, and celiac diseases.
Conclusion: Early and structured evaluation is essential to diagnose treatable causes of short stature. Awareness and timely interventions can improve growth outcomes.
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Mujeeb Ur Rehman
Assistant Professor, Department of Diabetes and Endocrinology, Lady Reading Hospital, Peshawar
Irfan Ullah
Assistant Professor, Department of Diabetes and Endocrinology, Lady Reading Hospital, Peshawar
Said Ayaz
Consultant Pediatric & Neonatal Medicine, Polyclinic Hospital Peshawar KP Employees Social Security Institution
Sajid Ur Rehman
Children Specialist Health Department Women and Children Hospital Karak, Pakistan
Muhammad Saleem
Trainee Registrar Children Ward, Women and Children Hospital Bannu, Pakistan
Aftab Alam
Registrar Children Ward Women & Children Hospital Karak, Pakistan
Mishkat Ullah
Combined Military Hospital, Rawalpindi Pakistan