RT Journal
A1 Liew W, Lek N, Jamuar S, Lim K
T1 PIcture of the month—quiz case
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2012
FD June 1
VO 166
IS 6
SP 573
OP 573
DO 10.1001/archpediatrics.2011.812
UL http://dx.doi.org/10.1001/archpediatrics.2011.812
AB 
On physical examination, he had rounded facies, dry skin, loss of the lateral third of his eyebrows, coarse hair, low-pitched voice, macro-orchidism, and a waddling gait. He did not have goiter, proximal myopathy, or a delayed relaxation phase of deep tendon reflexes. He was extremely short for his age. His height of 108.8 cm (SD score, −4.54) was also significantly lower than his parental target centile range of 151 cm (SD score, −3.53) to 171 cm (SD score, −0.79). His bone age was delayed at 2 years. Radiographs of the left hip (Figure 1) and the hand, lower limbs, spine, and skull (Figure 2) were obtained.