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- W2020583458 abstract "1. Bruce S. Alpert, MD* 1. 2. *Plough Foundation Professor of Pediatrics; Director, Pediatric Clinical Research Center, University of Tennessee, Memphis, TN.In 1984, Flo Hyman led the USA women’s volleyball team to the Olympic gold medal. She was a head taller than her teammates and continued to play volleyball after the Olympic Games. In February 1985 she met her untimely death while competing. Her image on the cover of Sports Illustrated pointed out to many of us the dangers of sports participation for patients who have Marfan syndrome (previously undiagnosed in Ms. Hyman). Almost annually, a young athlete, usually playing basketball, collapses during competition or practice and dies from aortic rupture. The majority of tall individuals, of course, do not have Marfan syndrome. The purpose of this article is to discuss the differential diagnosis of tall stature and briefly review the restrictions and therapy pertinent to patients who have Marfan syndrome.An individual is “tall” if he or she is greater than 2.5 standard deviations above the mean for age and gender. In adults this is more than 192 cm in males and more than 179 cm in females. The Table⇓, which shows the major diseases associated with being tall, does not include the largest group of tall people—those who are “normal,” usually associated with tall parents and relatives. Endocrine causes of tall stature include conditions that result from overproduction of growth hormone or thyroid hormone. Three of the diagnoses rely on chromosomal analyses: fragile X syndrome, Klinefelter syndrome (XXY), and XYY syndrome. Homocystinuria may be excluded by amino acid determination, especially among patients who have a negative family history and developmental delay.View this table: Table 1. TABLE. Conditions That Include Tall StatureThere is no consistent …" @default.
- W2020583458 created "2016-06-24" @default.
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- W2020583458 title "Consultation with the Specialist: Tall Stature" @default.
- W2020583458 doi "https://doi.org/10.1542/pir.19-9-303" @default.
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