Tall Stature - Differential Diagnosis Algorithm Normal Growth (BA=CA) • Familial Tall Stature • XYY Syndrome Obese BMI • Exogenous Obesity Normal Puberty Onset • GH Excess • Hyperthyroidism Precocious Puberty • Adrenal Tumor • Ovarian Tumor • Testotoxicosis • Congenital Adrenal Hyperplasia Constitutional • Constitutional Tall Stature (Early Bloomer) Other Obvious Abnormalities/Stigmata - Disproportionate • Klinefelter's Syndrome • Soto's Syndrome/ Cerebral Gigantism • Marfan's Syndrome • Homocystinuria • Sex Steroid Deficiency/Resistance • Acromegaly (Rare in Children) Other Obvious Abnormalities/Stigmata - Proportionate • Bechwith-Weidmann Syndrome (Normalizing growth after birth) • Weaver Syndrome • XYY Syndrome • Neurofibromatosis 1 • Hyperthyroidism (Untreated/Severe) #TallStature #Differential #Diagnosis #Algorithm #endocrinology #causes
