Abstract

Growth can be divided into three components: infancy, childhood and puberty. Infancy growth, is determined by nutrition whereas childhood growth, is mediated by growth hormone and puberty by both growth hormone and sex steroids, particularly estradiol. Height progresses in a predictable manner along a set of centiles, which describe a person’s height with respect to the general population. In assessing height, the parental height needs to be taken into consideration. Weight and body mass index are useful adjuncts to height measures. Bone age is an estimate of how much growth has taken place and is obtained from a hand X-ray. All these measures are used to monitor a child’s progress and are useful to indicate overall how things are progressing in the treatment of CAH.

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