Doctor's Notes on Growth Failure in Children
Growth failure in children describes a growth rate is below the appropriate rate or speed for the child’s age. Signs and symptoms include a height below the about the 3rd to 5th percentile on a human growth chart. Symptoms of growth failure in children may include one or more the following: the child’s height, weight and head circumference do not progress normally according to standard growth charts, physical skills of babies are slow to develop (for example, rolling over, setting up, standing and/or walking), delayed social and mental skills and delay in development of secondary sexual characteristics (for example, breast development in females and development of men’s facial hair).
Causes of growth failure in children is often the result of a combination of two or more factors such as genetics, hormone production, emotional problems and even nutrition. The following possible causes of growth failure in children may include familial short stature, delayed puberty, malnutrition, chronic diseases and/or systemic disorders (for example, lungs, liver, kidney or connective tissue disorders), child abuse and/or emotional deprivation and neglect (also termed psychosocial dwarfism), endocrine (hormonal) deficiencies, genetic syndromes like Down syndrome, Prader-Willi syndrome or genetic disorders of bone and cartilage or intrauterine growth retardation.
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.