case_images: PMC4148676_01
case_images: Bone age radiograph of patient's younger brother showing the cone shaped epiphyses with diffuse shortening of the phalanges.
case_images: 1687-9856-2014-16-1.jpg
case_images: PMC4148676_01_1687-9856-2014-16-1.jpg
case_images: F1
case_images: 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).
case_images: Growth chart of patient before and after starting growth hormone. F: father's height, M: mother's height. MPH: midparental height.
case_images: 1687-9856-2014-16-2.jpg
case_images: PMC4148676_01_1687-9856-2014-16-2.jpg
case_images: F2
case_images: 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).