Possibly Scoliosis & Tall Stature & Weight Gain: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Possibly Scoliosis, Tall Stature, Weight Gain,

Negated

None

Unsure

None

Possible Causes

Marfan Syndrome

Vision problems should be treated when possible. Monitor for scoliosis, especially during the teenage years. [nlm.nih.gov]

It is characterized by tall stature, elongated extremities, mitral valve prolapse, aortic dilatation, aortic dissection, and sublaxation of the lens A hereditary disorder [icd9data.com]

This condition also known as Wiedemann-Rautenstrauch syndrome is a rare disorder characterized by accelerated aging and lipodystrophy from birth, poor postnatal weight gain [ncbi.nlm.nih.gov]

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Klinefelter Syndrome

Osteoporosis may lead to vertebral collapse and even scoliosis. [accessanesthesiology.mhmedical.com]

These patients usually present with tall stature. We report a case of KS with short stature due to growth hormone deficiency. [ncbi.nlm.nih.gov]

This is important to know so that investigators understand how hormones and an extra X chromosome relate to diseases such as diabetes, extra weight gain, heart disease and [clinicaltrials.gov]

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Acromegaly

He died as a result of pulmonary compromise secondary to advanced scoliosis. Fig. 1. [doi.org]

Convert to ICD-10-CM : 253.0 converts approximately to: 2015/16 ICD-10-CM E22.0 Acromegaly and pituitary gigantism Approximate Synonyms Acromegaly Constitutional tall stature [icd9data.com]

We report the case of a 43 years old patient initially diagnosed with acromegaly accompanied by weight gain and acral enlargement. [ncbi.nlm.nih.gov]

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Growth Failure

On examination he was also noted to have a small chest, subcostal recession and a mild thoracolumbar scoliosis. [bone-abstracts.org]

Describe when treatment is indicated for children with short and tall stature. [pedsinreview.aappublications.org]

Weight curve shows excessive weight gain and subsequent weight loss after levothyroxine initiation. (B) Body mass index-for-age Curve. [frontiersin.org]

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Atkin Syndrome

] 0002808 Prominent forehead Pronounced forehead Protruding forehead [ more ] 0011220 Prominent median palatal raphe Prominent central ridge on roof of the mouth 0002708 Scoliosis [rarediseases.info.nih.gov]

By losing weight or avoiding weight gain, these children can lower their risk of CHD and diabetes. [atkins.com]

The overall objective is to explore the mechanisms by which macronutrients regulate food intake and weight gain in Prader Willi Syndrome (PWS). [clinicaltrials.gov]

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Simpson Dysmorphia Syndrome

Low set ears / posteriorly rotated ears - Megaureter / hydronephrosis / pyeloureteral junction syndrome - Omphalocele / exomphalos - Pectus excavatum - Polyhydramnios - Scoliosis [csbg.cnb.csic.es]

Prenatal-onset overgrowth can be secondary to normal variants of familial tall stature, familial rapid maturation, diabetic macrosomia, and congenital nesidioblastosis, or [ncbi.nlm.nih.gov]

gain, formation of tumors in the abdomen, enlarged organs (liver, spleen, kidneys), cardiac problems, low muscle tone, speech impediment, intellectual impairment, and attention [dovemed.com]

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Prader-Willi Syndrome

The literature dealing with scoliosis surgery in PWS consists of only few case reports. [ncbi.nlm.nih.gov]

However, these three individuals also have features not typical of classical PWS, including tall stature as a child, large head circumference, lack of a “PWS facial gestalt [nature.com]

This can result in rapid weight gain and morbid obesity. [nlm.nih.gov]

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Sotos Syndrome

A percentage of these patients develop progressive scoliosis early in life. [ncbi.nlm.nih.gov]

Constitutional tall stature Tall stature in childhood usually presents less initial concern than short stature because, at least in early childhood, being tall can be advantageous [childgrowthfoundation.org]

He was put onto Nutrini milk which helped with his weight gain and his health started to improve. [medium.com]

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Disproportionate Short Stature - Ptosis - Valvular Heart Lesions

Other Possible Symptoms Curved spine, called scoliosis Ear infections Early puberty Farsightedness Hernia High levels of calcium in the blood Hoarse voice Joint and bone problems [webmd.com]

Search terms included short stature, tall stature, and growth hormone. [aafp.org]

Low birth-weight / slow weight gain Most children with Williams syndrome have a slightly lower birth-weight than their brothers or sisters. [williams-syndrome.org]

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Straight Back Syndrome

[…] of normal thoracic kyphosis, which AP chest diameter, prominence of pulmonary artery and right hilum, displacing heart to left, simulating cardiomegaly Associations ASD, scoliosis [medical-dictionary.thefreedictionary.com]

Mitral valve prolapse resolves during pregnancy and following weight gain in anorexic patients. [emedicine.medscape.com]

• There may be an associated scoliosis • Narrow AP diameter of the thorax – Measured on lateral chest from the anterior border of T8 to the posterior border of the sternum [proxraymanagement.com]

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Dilated Cardiomyopathy-Hypergonadotropic Hypogonadism Syndrome

[…] age; patchy areas of hair loss (alopecia); gastroesophageal reflux; pain in the middle of the abdomen just below the sternum (epigastric pain); and abnormal side-to-side (scoliosis [rarediseases.org]

[…] symptoms: mental retardation, ovarian dysgenesis, congestive cardiomyopathy, broad nasal base, blepharoptosis, and bone abnormalities, and occasionally marfanoid habitus (tall [en.wikipedia.org]

Syndrome dicarboxylic aminoaciduria diffuse infiltrative lymphocytosis syndrome Digitorenocerebral Syndrome Dincsoy Salih Patel Syndrome Dislocated Elbows, Bowed Tibias, Scoliosis [rgd.mcw.edu]

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Trisomy 15q

Additional abnormalities typically include an unusually short neck; malformations of the fingers and/or toes; abnormal sideways curvature of the spine (scoliosis) and/or other [rarediseases.org]

All of them presented with tall stature. The half-brother had developmental delay. [nature.com]

Birth weight was 2700 g. height 45 cm and head circumference 30 cm. He had poor weight gain, hypotonia and bizzare convulsions starting in 1st month of life. [bib.irb.hr]

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Clark-Baraitser Syndrome

Others ND 1 has pectus carinatum ND ND ND ND ND Spine abnormalities - ND ND ND ND ND ND ND 8/52 5/6 Scoliosis 1 Scoliosis ND ND ND ND Coarse face ND ND ND ND ND ND ND at least [ncbi.nlm.nih.gov]

However, the patient had in addition, aplasia of all nails of hands and feet, thoracic scoliosis, and infrequent seizures, which were not present in our patient who had a [ncbi.nlm.nih.gov]

[…] hypotonia in infancy [ 1 – 6 ], and ZLS charatacterized by ID, gingival fibromatosis, associated with absence or dysplasia of all nails, hypoplasia of the distal phalanges, scoliosis [ncbi.nlm.nih.gov]

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McCune-Albright Syndrome

Scoliosis can occur secondary to McCune-Albright syndrome (MAS); it can be progressive and sometimes requires surgical treatment. [ncbi.nlm.nih.gov]

Some people with acromegaly grow to very tall stature. Acromegaly in McCune-Albright syndrome affects boys and girls equally. [encyclopedia.com]

Symptoms include obesity of the face and body, weight gain, skin fragility, and stopping growth in childhood. [houghton.moneomed.com]

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Partial Trisomy 15q

Additional abnormalities typically include an unusually short neck; malformations of the fingers and/or toes; abnormal sideways curvature of the spine (scoliosis) and/or other [rarediseases.org]

trisomy 15q25-qter), affected individuals may exhibit abnormally tall stature. (For more information on trisomy 15q25-qter, see the “Causes” section below.) [rarediseases.org]

Such feeding and swallowing difficulties may result in or contribute to an affected infant’s failure to grow or gain weight at the expected rate (failure to thrive). [rarediseases.org]

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Familial Short Stature

[…] nose Normal intelligence Diagnostics X-ray Lateral skull : midface hypoplasia, frontal prominence Spine : abnormally narrow interpedicular distance spinal canal stenosis ; scoliosis [amboss.com]

Search terms included short stature, tall stature, and growth hormone. [aafp.org]

[…] pressure Chronic Systemic Disease These children are often thin with decreased weight gain or increased weight loss. [pedclerk.bsd.uchicago.edu]

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Marshall-Smith Syndrome

[…] laryngomalacia, glossoptosis, choanal stenoses, bilateral peripheral hearing defect, ventriculomegaly, congenital heart disease (atrial septal defect), chronic pulmonary disease, and scoliosis [ncbi.nlm.nih.gov]

stature Increased body height 0000098 Thick eyebrow Bushy eyebrows Dense eyebrow Heavy eyebrows Prominent eyebrows Thick eyebrows [ more ] 0000574 Umbilical hernia 0001537 [rarediseases.info.nih.gov]

Unlike the aforementioned human syndrome, Nfix-deficient mice are unable to gain weight and die in the first 3 postnatal weeks, while they also present with a spinal deformation [ncbi.nlm.nih.gov]

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Homocystinuria

The two diseases should be differentiated because of the thrombotic risk in homocystinuria, and also because in this disease there is a possibility of treating the biochemical [online.boneandjoint.org.uk]

Autosomal recessive disease caused by cystathionine synthase deficiency Patients normal at birth, then begin to develop developmental delays History / PE : Marfan features (tall [medlibes.com]

If your child has it, she may have many or none of these symptoms: Pale hair and skin Abnormally-shaped chest Slow weight gain and growth Severe nearsightedness and lens dislocation [webmd.com]

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Laron Syndrome with Immunodeficiency

[…] thrive Short neck Growth delay High forehead Delayed eruption of teeth Microdontia Epicanthus Cryptorchidism Myopia Triangular face Increased body weight Hip dislocation Scoliosis [mendelian.co]

Index · nutritional ( E45 ) · pituitary ( E23.0 ) · renal ( N25.0 ) E34.4 Constitutional tall stature Constitutional gigantism E34.5 Androgen resistance syndrome Male pseudohermaphroditism [apps.who.int]

Poor weight gain and failure to thrive may be attributed to a general developmental delay, but these conditions are often aggravated by recurrent infections and complications [symptoma.com]

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Emery-Dreifuss Muscular Dystrophy

Scoliosis occurred in three patients but stabilized in the absence of treatment. [ncbi.nlm.nih.gov]

stature, learning and reading disabilities, and other medical problems. [wikivisually.com]

Steroids also carry potential risks and adverse effects such as weight gain (possibly making weakness worse), growth impairment, and osteopenia (decrease in bone mass), among [clevelandclinic.org]

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Hypogonadotropic Hypogonadism

Occasional abnormalities may include cryptorchidism, hypospadias, ataxia, scoliosis during adolescence, and diabetes mellitus in adulthood A form of male hypogonadism, characterized [icd9data.com]

In addition the boy developed delay of puberty, bone age, and closure of the epiphyseal lines of long bones with tall stature. [ncbi.nlm.nih.gov]

gain or weight loss) Long-term (chronic) medical diseases, including chronic inflammation or infections Drug use, such as heroin or use or abuse of prescription opiate medicines [medlineplus.gov]

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Distal Symphalangism

Five members of a kindred with brachydactyly and distal symphalangism, normal stature, pes cavus, and scoliosis were ascertained. [ncbi.nlm.nih.gov]

stature 33 HP:0000098 21 short 1st metacarpal 33 HP:0010034 22 broad foot 33 HP:0001769 23 single transverse palmar crease 33 HP:0000954 24 camptodactyly 60 Occasional (29 [malacards.org]

gain. [nectarmutation.org]

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SHOX-Related Short Stature

If the child has scoliosis, the doctor should carefully monitor the progression of the scoliosis during Humatrope treatment. [humatrope.com]

Describe when treatment is indicated for children with short and tall stature. [pedsinreview.aappublications.org]

The most common presenting symptom is an insidious weight gain with lack of height gain. [ebook.ecog-obesity.eu]

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Duchenne Muscular Dystrophy

Ages at loss of ambulation or scoliosis diagnosis did not differ statistically among treatment groups. [ncbi.nlm.nih.gov]

Additionally, theoretical concerns have been raised that tall stature might be detrimental to muscle function in DMD. 100, 101 Until more evidence is available, the routine [ncbi.nlm.nih.gov]

[…] the quality of evidence (for behavioural changes and weight gain) as moderate. [ncbi.nlm.nih.gov]

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Growth Hormone Deficiency

They include: Headaches Muscle or joint pain Mildly under active thyroid gland Swelling of hands and feet Curvature of the spine (scoliosis) Development of breast tissue in [hormone.org]

These patients usually present with tall stature. We report a case of KS with short stature due to growth hormone deficiency. [ncbi.nlm.nih.gov]

gain. [ncbi.nlm.nih.gov]

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17q11 Microdeletion Syndrome

NF1; Type-1 NF1 deletions were found to be disproportionately associated with facial dysmorphic features (90% of patients), tall stature (46%), large hands and feet (46%), scoliosis [genatlas.medecine.univ-paris5.fr]

Failure to thrive is defined as the failure to grow and gain weight at a rate that would be expected based upon age and gender. [rarediseases.org]

[…] nodules; Long foot; Low-set ears; Macrocephaly; Muscular hypotonia; Neurofibrosarcoma; Optic nerve glioma; Overgrowth; Pectus excavatum; Pes cavus; Plexiform neurofibroma; Scoliosis [mousephenotype.org]

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Monosomy 21q

We report on three related patients with moderate intellectual disability, language delay, hypotonia, facial dysmorphism, cardiac anomalies, scoliosis, and kyphosis in whom [scienceopen.com]

Males with tall stature, hypogonadism, gynecomastia and slightly reduced IQ. Diagnosis not often made until delayed puberty. How does Klinefelter Syndrome occur? [quizlet.com]

Children with Prader-Willi syndrome have delayed milestones, short stature, rapid weight gain leading to obesity, and intellectual disability. [natera.com]

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Distal Trisomy 15q

[…] growth retardation * Postnatal growth retardation * Mental retardation * Head malformations * Facial malformations * Short neck * Finger malformations * Toe malformations * Scoliosis [checkorphan.org]

stature 58 31 occasional (7.5%) Occasional (29-5%) HP:0000098 28 omphalocele 58 31 occasional (7.5%) Occasional (29-5%) HP:0001539 29 abnormality of periauricular region [malacards.org]

Such feeding and swallowing difficulties may result in or contribute to an affected infant’s failure to grow or gain weight at the expected rate (failure to thrive). [rarediseases.org]

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Congenital Malformation Syndromes Involving Early Overgrowth

Less universal findings of Angelman syndrome include: microcephaly flat neck pale skin and fair hair widely spaced teeth tongue protrusion and open mouth scoliosis constipation [news-medical.net]

Describe when treatment is indicated for children with short and tall stature. [pedsinreview.aappublications.org]

Archie Thompson, aged two, weighs six stone The mother of a baby who has a rare and incurable weight gaining disease has written to the prime minister for financial help. [news.bbc.co.uk]

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Gigantism

Voice is hoarse and affected individuals have a plump, stocky body with pectus excavatum, thoracic scoliosis, hepatosplenomegaly, umbilical and/or inguinal hernias, broad [ncbi.nlm.nih.gov]

This boy appears likely to have neurofibromatosis type 1 (NF1) which raises the question of subtle GH excess in NF1 patients with tall stature. [ncbi.nlm.nih.gov]

Patients present with accelerated linear growth and macrocephaly with a lag in weight gain. [visualdx.com]

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