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This case sieries gives three different cases with three different presentation and different approaches to a patient with short stature. Material CASE 1 A 13 Year old female brought by her parents with complaints of decreased height appropriate for age. O/E height- 127cm(-3SD), weight 42kg, MPH- 150cm, arm span to height ratio- 11, secondary sexual characters- tanners stage 2. X-ray hand with wrist- bone age 0f 12 years. TFT- within normal limits. MRI pituitary- normal study. Patient suspected to have isolated growth harmone deficiency. Growth harmone
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