Typical pattern of growth in a child with acquired growth hormone deficiency (GHD). Children with acquired GHD have an abnormal growth velocity and fail.

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Typical pattern of growth in a child with acquired growth hormone deficiency (GHD). Children with acquired GHD have an abnormal growth velocity and fail to maintain height percentile during childhood. Other phenotypic features (central adiposity and immaturity of facies) may be present. Children with congenital GHD will cross percentiles during the first 2 years of life, similarly to the pattern seen in familial short stature and constitutional delay, but will fail to attain a steady height percentile subsequently. Source: Endocrine Disorders, CURRENT Diagnosis & Treatment Pediatrics, 23e Citation: Hay WW, Jr., Levin MJ, Deterding RR, Abzug MJ. CURRENT Diagnosis & Treatment Pediatrics, 23e; 2016 Available at: http://accessphysiotherapy.mhmedical.com/DownloadImage.aspx?image=/data/books/1795/ped23_ch34_f005.png&sec=125747053&BookID=1795&ChapterSecID=125747021&imagename= Accessed: October 21, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved