Cauze de statur nalt A. Intrinseci - Familial - Sindroame genetice: Marfan, Weaver, Beckwith Wiedeman, Marshall etc. B.

Boli sistemice ndocrine - !ces de hormon de cre"tere #adenoame hi$ofi%are hi$ersecretante& - 'i$ogonadism(l $rimar #sindrom )linefelter& - *+e%itate - ,(+ertate $recoce #,,& adevrat sa( $se(do,, - 'i$ertiroidism -on endocrine: -e(rofi+romato%a, 'omocistin(ria etc val(area e!ces(l(i stat(ral va ince$e c( (rmrirea ritm(l(i de crestere A& .aca: / 0itm(l de crestere este cores$(n%ator v1rstei / 2enitori 3nal4i / 5linic fr elemente $atologice / 6* 7 65 Stat(r 3nalt constit(4ional 2', I2F8 7 - sa( la limita s($ a B& .aca: / 0itm de crestere accelerat / 2enitori c( talie medie sa( mic -ecesita eval(are $entr( e!ces stat(ral $atologic a& 5linic elemente $atologice semnificative $t sindroame genetice #e!: arahnodactilia $t sindrom(l Marfan& 5ons(lt genetic $entr( incadrare +& lemente clinice semnificative $entr( $atologia endocrin -ecesita eval(are endocrinologic 'i$erstat(ralitatea endocrin #I& 2igantism(l secre4ie e!cesiv de 2' $rin adenom hi$ofi%ar secretant de 2' 5linic - cre"tere accelerat, armonic - avans al mat(rrii osoase #6*>65&, 0adiologic - radiografia de "a t(rc $oate eviden4ia o "a t(rc lrgit #adenom(l hi$ersecretant&, - $oate asocia: ins(ficien4 gonadic #e(n(coidism, $(+ertate 3nt1r%iat 9 a+sent& Biologic : I2F8 "i 2' #2' +a%al : ; ng 9 ml&, fr s($resie la hi$erglicemie *+e%itatea

- asocia% - la (n moment dat - cre"tere liniar mai ra$id dec1t co$iii de aceea"i v1rst c( 2 normal - de+(t mai $recoce al $(+erta4ii - v1rsta osoas accelerat 6* : 65 Biologic: 2' 3n dinamic 7 - 9 sc%(t, I2F-8 normal Pubertatea precoce - v1rsta osoas accelerat 6* : 65 - cre"tere liniar mai ra$id - la (n moment dat - dec1t co$iii de aceea"i v1rst, f(%i(nea e$ifi%ar $recoce 3nl4imea final normal sa( ("or sc%(t Biologic: steroi%i se!(ali si gonadotro$i hi$ofi%ari

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