PubMed · 48245
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H B Hahn. 1975. Congenital nongoitrous hypothyroidism.. https://doi.org/10.1080/00325481.1975.11714074
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The diagnosis of psychosocial dwarfism in a 9 year-old boy with severe growth retardation (-6 1/2 standard deviations) was deduced from the typical history. The bone age was severely retarded and in the first days after admission a deficiency of growth hormone and other pituitary hormones was established. The change in environment per se led to a spontaneous reversal of the growth hormone deficiency within a short time. A rapid catch up growth was observed over the subsequent 2 1/2 years, as well as a normalisation of the psychological retardation.
A group of syndromes is presented whose common characteristic is the absence of pubic ossification at birth with very slow posterior mineralization. This is a radiological finding of interest as it has not been described in other entities. In all the cases shown, moreover, a variable degree of delay in bone age is observed. The increase of space between the pubic bones described in these syndromes is fictious, as it really signifies the existence of non-ossified cartilage. Therefore, they must be differentiated from those which deal with real widening of the symphysis of pubis.
The development of ossification centers in the region of the knee, the head of the femur, in the hand and the ossification of the iliac apophyses is of great significance in childhood. Timely or delayed appearance of the distal femoral and proximal tibial epiphyseal centers is an aid to confirming the diagnosis of a neonatal hypothyrosis. The normal range of variation of the appearance of the center in the head of the femur is therefore important to avoid unnecessary treatment when other parameters of hip dysplasia are lacking. Excessive growth in length, prospective calculation in differences in leg length and therapeutic measures for scoliosis are indications for the determination of the bone age.