Psychosocial short stature

Psychosocial short stature
Synonyms	Psychosocial dwarfism, stress dwarfism
Pronounce	N/A
Specialty	N/A
Symptoms	Short stature, delayed growth, delayed puberty, emotional disturbances
Complications	Growth hormone deficiency, developmental delay
Onset	Childhood
Duration	Variable, depending on environmental changes
Types	N/A
Causes	Emotional deprivation, stress, neglect, abuse
Risks	Child abuse, neglect, institutionalization
Diagnosis	Clinical assessment, growth hormone testing, psychosocial evaluation
Differential diagnosis	Growth hormone deficiency, hypothyroidism, Turner syndrome, chronic illness
Prevention	N/A
Treatment	Removal from stressful environment, psychotherapy, nutritional support
Medication	N/A
Prognosis	Good with early intervention
Frequency	Rare
Deaths	N/A

Psychosocial short stature (PSS) is a growth disorder that is observed between the ages of 2 and 15, caused by extreme emotional deprivation or stress. The condition is characterized by decreased growth, decreased production of growth hormone, and delayed puberty.

Causes

The primary cause of PSS is severe emotional deprivation or stress. This can occur in various situations, including child abuse, child neglect, or living in a war zone. The stress and emotional deprivation interfere with the production of growth hormone, leading to short stature.

Diagnosis

Diagnosis of PSS is complex and involves a combination of medical, social, and psychological evaluations. The child's growth pattern is compared to standard growth charts. Blood tests are conducted to measure levels of growth hormone. A psychological evaluation may also be conducted to assess the child's emotional state.

Treatment

Treatment for PSS involves addressing the underlying cause of the emotional stress or deprivation. This may involve psychotherapy, family counseling, and in some cases, removal of the child from the stressful environment. In some cases, treatment with synthetic growth hormone may be used.

Prognosis

With early diagnosis and treatment, children with PSS can achieve normal growth and development. However, if left untreated, PSS can lead to permanent short stature and delayed puberty.

See also

• Growth hormone deficiency
• Failure to thrive
• Childhood trauma