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Disproportionate Short Stature: Diagnosis and Management

Jonathan Cohen, MD
JAMA. 1973;226(2):207-208. doi:10.1001/jama.1973.03230020049034.
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This book has two virtues—(1) it makes available to students and practitioners a handy reference to all the conditions that lead to dwarfism; and (2) by describing the better-known kinds and listing the many others, it impresses the reader with how many patterns of disturbances of growth can occur, most of them of unknown cause. The data are so unwieldy that it would be unfair to expect a logical or even a workable classification. One has to be satisfied with a compendium of the data with the needed references.

The physician can best use this book by thumbing it through soon after seeing a patient short in stature, to find out the alternatives in skeletal diagnosis. The chapters on work-up do not effectively help with a diagnostic routine. The usual diagnostic measures, especially the roentgenograms, will have been taken and the next step would be a consideration of the many


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