RT Book, Section
A1 Appachi, Elumalai
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114879559
T1 Delayed Puberty
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114879559
RD 2024/04/20
AB A  14-year-old  boy  with  an  unremarkable  medical  history  presents  to  his  pediatrician  with  concerns  about  his  short  height  and  lack  of  pubertal  development  as  compared  to  his  peers.  His  father  relates  to  the  pediatrician  that  he  was  a  “late  bloomer.”  His  height  has  been  progressing  along  the  5th  percentile  and  his  weight  has  been  at  the  10th  percentile.  His  physical  exam  reveals  Tanner  stage  1  and  prepubertal  sized  testes,  but  is  otherwise  normal.  The  pediatrician  makes  the  diagnosis  of  constitutional  delay  of  growth  and  puberty,  reviews  the  expected  growth  and  development  with  the  family,  and  recommends  watchful  waiting  (Figure  199-1).  The  boy  begins  spontaneous  sexual  development  at  15  years  of  age  and  his  growth  velocity  increases  shortly  thereafter.