Short Stature - Treatment

Treatment

The decision to treat is based on a belief that the child will be disabled by being extremely short as an adult, so that the risks of treatment (including sudden death) will outweigh the risks of not treating the symptom of short stature. Although short children commonly report being teased about their height, most adults who are very short are not physically or psychologically disabled by their height.

Treatment is expensive and requires many years of injections with human growth hormones. The result depends on the cause, but is typically an increase in final height of about 5 to 10 centimetres (2.0 to 3.9 in) taller than predicted. Thus, treatment takes a child who is expected to be shorter than a normal adult, and produces an adult who is still obviously shorter than average.

Increasing final height in children with short stature may be beneficial and could enhance health-related quality of life (HRQoL) outcomes barring troublesome side effects and excessive cost of treatments.

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