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November 1964

Growth Disorders in Child and Adolescents.

Am J Dis Child. 1964;108(5):570. doi:10.1001/archpedi.1964.02090010572022

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Although current limited availability of human growth hormone has been responsible for renewed interest in the small child, the old questions are as troubling as before: what size is to be considered sufficiently small to be rated as abnormal? How much investigation and what type of investigation is most reasonable in evaluation of the problem of growth retardation? To a large extent, Dr. Kaplan's book is addressed to these questions and provides answers that are about as helpful as can be offered at present.

Patterns of normal growth are considered in some detail. Primordial dwarfism, growth retardation resulting from diseases of specific systems, and various endocrine disorders associated with abnormalities of growth are reviewed. Recently acquired knowledge concerning growth hormone is considered in detail and interpreted in clinical perspective (the author concludes that deficiency of growth hormone is a rare cause of growth retardation). Discussion of indications and contraindications for

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