Merck Manual

Please confirm that you are not located inside the Russian Federation

honeypot link

Growth Hormone Deficiency in Children

By

The Manual's Editorial Staff

Reviewed/Revised Sep 2023
VIEW PROFESSIONAL VERSION
Get the full details

What is growth hormone deficiency?

Growth hormone deficiency is a condition caused by the pituitary gland not making enough growth hormone. This can cause poor overall growth and short stature.

  • Short stature is a height that's shorter than almost all other children of the same age and sex

  • Short stature doesn't always mean there's a problem

  • Other symptoms of growth hormone deficiency depend on the child's age and the cause of the deficiency

  • If children don't have enough growth hormone, doctors give growth hormone shots

Short stature is not the same thing as dwarfism, which is also called osteochondrodysplasia Osteochondrodysplasias Osteochondrodysplasias are a group of rare hereditary disorders of connective tissue, bone, or cartilage that cause the skeleton to develop abnormally. In osteochondrodysplasias, the growth... read more . Children with dwarfism have a genetic disorder that causes abnormal growth and development of bone and cartilage in addition to short stature.

What causes growth hormone deficiency?

Growth hormone is a chemical messenger made in the pituitary gland in your brain. It signals all the tissues in your body to grow and develop. Most of the time, doctors don't know why a child doesn't have enough growth hormone. But sometimes it's caused by another health problem such as:

What are the symptoms of growth hormone deficiency?

The main symptoms of growth hormone deficiency are:

  • Poor overall growth rates

  • Being very short compared to other children of the same age and sex

Children with growth hormone deficiency usually:

  • Grow slowly

  • Get their adult teeth later than normal

  • Have normal proportions (their arms and legs match their height)

How can doctors tell if my child has growth hormone deficiency?

Doctors will:

  • Measure your child's height and weight and plot it on growth charts

  • Take x-rays of the bones of your child's hand to measure the bone age

To find out what is causing your child's slow growth, doctors may do:

How do doctors treat growth hormone deficiency?

Doctors treat growth hormone deficiency using:

  • Shots of growth hormone

Growth hormone is only effective if given before the bones stop growing.

If your child has a brain tumor, doctors may do surgery to remove it.

NOTE: This is the Consumer Version. DOCTORS: VIEW PROFESSIONAL VERSION
VIEW PROFESSIONAL VERSION
quiz link

Test your knowledge

Take a Quiz!
iOS ANDROID
iOS ANDROID
iOS ANDROID
TOP