tiological factors of short stature in children

Abstract

<p>Short stature is one of the most common pediatric endocrinogical problem. Determination of the etiological factors would lead to more appropriate assessment and clinical approach for this group of children. In this study, 385 children with short stature attending our endocrine outpatient clinic between January 2002 and April 2004 were investigated for the etiology of short stature. Clinical and laboratory findings, etiological factors and associated disturbances were reviewed retrospectively. Normal variant short stature was found as the most frequent cause of short stature (71.1%). Growth hormone deficiency (9.6%), celiac disease (6.5%), syndromic short stature (3.9%) and nutritional deficiencies (1.8%) were observed as the pathological causes of short stature. Zinc deficiency, osteoporosis and iron deficiency anemia were the most important pathological findings accompanied with short stature.</p>

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<p>?ocuklarda boy k?sal???nda etiolojik etmenler</p>

<p>Boy k?sal??? pediatrik endokrin polikliniklerine en s?k ba?vuru nedenlerindendir. tiolojik etkenlerin s?kl???n?n bilinmesi, hastaya yakla??m ve se?ilecek laboratuvar testlerinde daha bilin?li davran??a yard?mc? olacakt?r. Bu ?al??mada b?l?m?m?zde Ocak 2002-Nisan 2004 y?llar? aras?nda boy k?sal??? nedeniyle ara?t?r?lan 385 olgu retrospektif olarak incelendi. Hastalar?n klinik ve laboratuvar bulgular?, etiolojik nedenlerin da??l?m? ve e?lik eden sa?l?k sorunlar? g?zden ge?irildi. Klinik ve laboratuvar verilerine g?re en s?k neden normalin varyant? boy k?sal??? idi (%71,1). Patolojik boy k?sal?klar? olgular?n %28,9?unu olu?turuyordu ve s?ras?yla b?y?me hormonu eksikli?i (%9,6), ??lyak hastal??? (%6,5), sendromik boy k?sal?klar? (%3,9) ve beslenme bozukluklar?na ba?l? boy k?sal?klar? (%1,8) en s?k rastlanan nedenler aras?ndayd?. ?inko eksikli?i, osteoporoz ve demir eksikli?i anemisi boy k?sal?klar?na e?lik eden en ?nemli patolojik bulgulard?.</p>