A child is below the third percentile for height. Growth velocity is normal, but chronologic age is more than skeletal age. The most likely diagnosis is______________?

Correct answer: C. Constitutional delay in growth

  • A. Primordial dwarfism
  • B. Genetic short stature
  • C. Constitutional delay in growth
  • D. Hypopituitarism

Explanation

Constitutional delay causes short stature with a normal growth velocity and delayed bone maturation, so skeletal age trails chronological age. Genetic short stature usually has bone age appropriate for chronological age.

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