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OCR: nts with Although it was expected that such pat Frage delayed puberty will ultimately reach at have normal heights (Fig. 13.20), recent studi children is suggested that height prediction in thes chieve overly optimistic and that the children . These heights several cm shorter than expecte on because patients are usually brought for evaluat netic of the tendency to short stature due to g erty and factors that are intensified by delayed pu lack of a pubertal growth spurt. e prior to Growth rate in these children may decli the onset of their pubertal growth spurt