A child's growth variation is normal but bone development is not acc to the chronological age.What is diagnosis?

[Medicoman]

A child’s growth variation is normal but bone development is not acc to the chronological age.What is diagnosis ?

• 1. Genetic
• 2. Dwarfism
• 3. Constitutional delay
• 4. Familial short stature

exp:

• The child in this question has :

1. Height below 3rd percentile, i.e., short stature.
2. Normal growth velocity, i.e., normal variant of short stature.
3. Skeletal age is less than chronological age.

• There are two types of normal variant of short stature.

1. Constituional delay in growth
2. Familial genetic short stature

• In constitutional delay the bone age is less than chronological age, while in familial short stature bone age is normal for the chronological age.
• So, the most likely diagnois of this child is constitutional delay in growth.