Clinical_Rounds_in_Endocrinology_Volume_II_-_Pediatric_Endocrinology

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Fig. 1.1 A child with GH deficiency. Note (a) cherubic face, frontal bossing and midfacial hypo-
plasia (b) short stature, micropenis, and lipomastia. (c) CEMRI sella showing hypoplastic pituitary
(red arrow). (d) X-ray pelvis demonstrating congenital hip dislocation (red arrow). (e, f)
Improvement in facial features and height gain after 2 years of rhGH therapy. (g) Growth chart
showing catch-up growth after initiation of rhGH therapy

a

c

d

b

1 Disorders of Growth and Development: Clinical Perspectives