PMC4148676_01
Bone age radiograph of patient's younger brother showing the cone shaped epiphyses with diffuse shortening of the phalanges.
1687-9856-2014-16-1.jpg
PMC4148676_01_1687-9856-2014-16-1.jpg
F1
However, bone age radiograph of his younger brother who was 5 years old revealed the presence of cone-shaped phalangeal epiphyses with diffuse shortening of the phalanges in addition to delayed bone age of 2-3 years (-3.4 SD) (Figure 1).
Growth chart of patient before and after starting growth hormone. F: father's height, M: mother's height. MPH: midparental height.
1687-9856-2014-16-2.jpg
PMC4148676_01_1687-9856-2014-16-2.jpg
F2
The height SDS score increased from -2.4 to -1.4 and his growth velocity increased from 4.7 cm/year before treatment to 7.7 cm/year during treatment (Figure 2).