A child is below the third percentile for height. His growth velocity is normal, but chronologic age is more than skeletal age. The most likely diagnosis is:
a. Constitutional delay in growth(Ref: Nelson's 20/e p 2643, Ghai 8/e p 35-37)The child in this Question has: Height below 3rd percentile, i.e., short stature.Normal growth velocity, i.e., normal variant of short stature and Skeletal age is less than chronological age.So, this child has Constitutional delay in growth.
Constitutional delay in growth
Genetic short stature
Primordial dwarfism
Hypopituitarism
Growth, Development, and Behavior