-- card: 6341 from stack: in
-- bmap block id: 0
-- flags: 0000
-- background id: 6652
-- name: 


-- part contents for background part 13
----- text -----
Delay of puberty

-- part contents for background part 15
----- text -----
   The significant part of this growth pattern is the delayed to absent spurt of growth which normally occurs at the time of puberty.  This failure of a normal growth spurt may be due to growth hormone deficiency in the child with evidence of pubertal development; however, in the absence of pubertal development, the most likely proximal reason for growth failure will be related to diminished sex steroid production.  In a female, the most common single diagnostic group is Turners mosiasicism.