A 6-year-old boy presents with short stature (height <3rd percentile) and normal growth velocity of 4 cm/year. His bone age is 5 years, thyroid function is normal, and celiac serologies are negative. Growth hormone stimulation test shows peak GH of 3.2 ng/mL (normal >10 ng/mL). Which of the following is the most likely diagnosis?
- A)Constitutional growth delay
- B)Familial short stature
- C)Growth hormone deficiencyGABARITO
- D)Celiac disease
- E)Hypothyroidism
Explicação
Growth hormone deficiency presents with short stature, retarded bone age, and inadequate response to GH stimulation (peak <10 ng/mL). Normal thyroid function and negative celiac screening exclude other common causes. Ver explicação completa e trilha adaptativa →