<prompt> A 9-year-old boy presents with growth retardation and propensity to hypoglycemia. Physical examination reveals short stature, micropenis, increased fat and highpitched voice. The skeletal survey reveals a bone age of 5 years. Which of the following is most appropriate diagnosisMalabsorptionGrowth hormone deficiencyAdrenal tumourThyroxin deficiency  <response>: It is a classic case of Growth hormone deficiency.clinical features of Growth hormone deficiencyShort children with normal body proportionsMarkedly increased subcutaneous fatDelayed skeletal age than chronological ageThe height age is less than skeletal age and chronological age.Hypoplastic penis and scrotumMay present with severe hypoglycemic convulsions.Crowding of midfacial featuresGenitals are small sexual infantilismTruncal obesity.High pitched voiceDepressed nasal bridgeProminent philtrumFrontal BossingDelayed sexual maturationDelayed tooth eruption 