Childhood Diseases

Question
Posted by: Racoon | 2010/11/30

Q.

re: concerned about 20 month old son

Dear Prof

The little guy had his bone age xray this morning, and this is what the report says:

???
Of particular note is lack of ossification of the epiphyses of the metacarpals. There is ossification of the epiphyses of the proximal phalanges but these are not lens shaped as they should be and are smaller than normal. The ossification of the radial epiphysis is also smaller than normal and also the capitate and hamate are also smaller than normal. No ossification is seen involving the distal phalanx of the thumb.

This sounds worrying - what do you make of it?

Expert's Reply

A.

Paediatrician

These findings indicate that your son has a delayed bone age and also less calcification of his bones than expected. There are many causes for delayed bone age and only one of these possible causes is hypopituitarism.

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