Endocrinology: Child growth
At the Children Hospital of Brussels (HUDERF), the pediatric endocrinology clinic provides specialized care and guidance for families with concerns about their child's growth.
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While growth is a natural and unique process for each child, certain signs may indicate the need for a specialized pediatric evaluation.
Growth delay may be suspected in several situations:
- The child’s height is significantly below the standard growth curves for their age.
- Growth has slowed down or seems to have stopped.
- The child is gaining weight without a corresponding increase in height.
In these cases, a medical assessment is recommended to determine whether the variation is a normal constitutional trait or if an underlying condition requires further attention.
Understanding the causes of growth disorders
Several factors can contribute to growth disorders, including:
- Hormonal imbalances, such as growth hormone deficiency or thyroid dysfunction.
- Genetic or skeletal conditions, which may explain certain cases of short stature.
- Chronic illnesses, such as celiac disease or inflammatory disorders, which can interfere with the body's ability to absorb essential nutrients for proper growth.
A specialized consultation at HUDERF helps identify the cause and determine whether medical monitoring or specific treatment is necessary.
What to expect during a consultation at the pediatric endocrinology clinic?
During a pediatric assessment, the medical team will:
- Conduct a detailed interview to review the child's family and medical history.
- Perform a comprehensive clinical examination, including measurements of height, weight, and blood pressure.
- Order additional tests, such as blood tests or an X-ray of the wrist, to assess the child's bone age if necessary.
These steps allow for an accurate diagnosis and help determine if follow-up care or targeted treatment is needed.
What treatments are available for growth delay?
In Belgium, growth hormone treatment is only prescribed for specific conditions, including:
- Confirmed growth hormone deficiency.
- Persistent intrauterine growth restriction, when a child has not caught up in growth by age 4.
- Certain genetic conditions, such as Turner syndrome or Prader-Willi syndrome.
The goal of treatment is not to promote increased height but to support harmonious development in cases where a medical condition is affecting growth.
For more information or to schedule an appointment, visit:
https://www.huderf.be/en/services/endocrinology-pediatric
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