BSPED2015 e-Posters Pituitary and growth (18 abstracts)
1University of Glasgow, Glasgow, UK; 2RHSC Glasgow, Glasgow, UK.
Background: Recurrent middle ear disease may lead to poor growth or may suggest an underlying diagnosis associated with short stature. The aim of the study was to describe stature in a cohort of girls attending a paediatric ENT service.
Methods: Height and weight was measured in all girls attending ENT clinics over an 8 week period (n=83). A mid-parental height (MPH) was calculated from reported parental heights. The final ENT diagnosis was catergorised as: otitis media with effusion (group 1); recurrent acute otitis media (group 2); cholesteatoma (group 3); or otitis media with perforation (group 4).
Results: For the whole group the median age was 5.89 years (0.82, 14.49), median height SDS was 0.09 (−4.13, 2.86), median BMISDS was 0.44 (−2.49, 4.12). 2/83 girls (2.4%) had both height <−2S.D. and >1.5S.D. lower than MPHSDS, (Trisomy 21, short stature under paediatric review). An additional 7/83 (8.4%) had height >1.5S.D. lower than MPHSDS. The median age, either height parameter effected, (n=9) was 5.67 (2.38, 14.49); median height SDS −0.76(−4.13, −0.28) and median BMISDS −0.33(−1.53, 2.37).
Group 1 | Group 2 | Group 3 | Group 4 | |
Number | 52 | 23 | 7 | 1 |
Median age (range) | 6.02 (0.82, 14.49) | 4.13 (1.45, 9.80) | 9.28 (4.65, 11.64) | 3.72 |
Median height SDS (range) | 0.15 (−4.13, 2.86) | −0.34 (−1.26, 1.39) | 0.27 (−1.35, 0.67) | 0.43 |
BMISDS (range) | 0.51 (−1.53, 4.19) | 0.23 (−2.85, 2.71) | 0.45 (−1.01, 2.22) | 2.18 |
Median height SDS-MPHSDS (range) | −0.04 (−3.91, 2.92) | −0.62 (−2.11, 2.62) | −0.17 (−1.30, 2.38) | −0.10 |
Conclusion: Most girls attending an ENT tertiary service with middle ear disease had a height within the normal range. However, 10.8% may be shorter than their genetic potential.