How does pediatric Crohn disease affect growth and development?

Updated: Oct 23, 2018
  • Author: Andrew B Grossman, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Findings on physical examination depend on the duration and extent of the disease and on the extraintestinal manifestations.

Careful assessment of growth and development is an important part of evaluating the pediatric patient. Growth abnormalities may be detected by evaluating height and weight, percentage height and weight for the patient’s age and percentage weight for the patient’s height, growth velocity, body composition on anthropometry, and skeletal bone age. The most sensitive indicator of growth abnormalities is a decrease in growth velocity, which may be observed before the major percentile lines on standard growth curves are crossed.


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