1. Evaluation of Patients with Tall Stature Applying to a Pediatric Endocrinology Clinic
- Author
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Aşan Önder Çamaş, Inara Eldarova, Burçin Çiçek, Sibel Ergin Şahin, and Merve Nur Hepokur
- Subjects
tall stature ,children ,final height ,Medicine ,Pediatrics ,RJ1-570 - Abstract
Aim: Tall stature, defined as a height greater than 2 standard deviation score (SDS), affects 2.3% of children. Our study aimed to explore the causes of tall stature in children and assess the long-term outcomes for these cases. Materials and Methods: This study included 393 children with tall stature who applied to a pediatric endocrinology clinic between 2015-2024. The patients’ medical histories, physical examinations, laboratory findings and hormonal profiles were recorded. Results: Two hundred and forty-seven girls (62.8%) and 146 boys (37.2%) with a mean age of 9.0±2.8 (0.7-16.8) years were included. The majority of the cases presented with obesity and tall stature (25.2%), early onset of puberty signs and tall stature (18.8%), and early onset of puberty signs (12%). Tall stature was not reported as a complaint in 32.7% of the patients. At the initial visit, the height SDS was 2.6±0.5 (2.0-6.2), the mid parenteral height (MPH) SDS was 0.1±0.8 [(-1.9)-3.6] and the predicted adult height (PAH)-MPH was 8.5±7.8 [(-8.5)-39.0] cm. Considering their diagnoses, the majority were familial tall stature (39.9%), obesity + tall stature (32.3%), and central precocious puberty (13.5%). Cranial imaging was performed in 33 cases, and pathology was detected in 10. 95 of the cases had reached their final height. There was a statistically significant difference between the final height SDS and the patients’ initial height SDS and MPH SDS values (p
- Published
- 2024
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