11 1/2 year old boy with bone age of 13

[ann0923]

Our son who is only 54.75 inches.   He is 11 years, 7 months and has an advanced bone age of 13 and is in “full-blown puberty” at Tanner 3.  His voice is lowering, he has acne, facial hair above the lip as well as some darker fine hair along the jaw, armpit hair, and nipple changes.  Our concern is those bones are going to close due to puberty, and his height may be severely compromised.   I’m 5’ 1”, my husband is 5’ 6”, and our 14 ½ year old is now 5’ 6 thanks to growth hormone shots since age 9 due to idiopathic short stature.  
  
He is in a growth spurt, which looks like it started in November.  I charted his height based on his bone age of 13 and that puts him on the 1st percentile curve.  The blood work came back normal except for possible celiac disease and an elevated IGF1 of 476.  He appears to be whipping through puberty.  My 14 year old also moved fast through puberty, staying at Tanner 3 only one year.

We want to do whatever we can to help our son.  Have you dealt with similar cases, or is there someone in the country who specializes in early puberty combined with advanced bone age?  He was always on the 5th or 10th percentile curve, so this came as a surprise to us.  



This discussion is related to How accurate are bone x-rays.

[margypops]

I have also found a link maybe helpful    www.gh-treatment.com/   ..

[margypops]

I would get a second opinion,are they saying he is too young for tests ?  

[Carol4118]

I have a very similar situation. My son is 53 inches at 11.2 years old. His bone age is 12.5 years, and he is in Tanner stage 3 as well.  My son is also in a growth spurt, his predicted height will be 5'3".  The endocrinoligist says that he is not a candidate for GH therapy, that he is to far along in puberty. I did some investigating and found out that his paternal sicilian/hungarian grandfather was only 5'41/2"tall. I might add here that my son is 90lbs.,was a premie and LBW for most of his childhood was in the 5 to 10% for both. He may also have an issue with celiac? I cant seem to get the docs to run any tests. Our endocrinoligist said see you in 5 monthes. I think it is all quite sad.

[Adbnage]

Did your son grow? My son is 13.5 years old. He is in Late stage 4 puberty. Getting light facial hair and a little bit of chest hair. He’s 5’2”
I’m really hoping there is potential for growth! Thanks!

[Adbnage]

Did your son grow? My son is 13.5 years old. He is in Late stage 4 puberty. Getting light facial hair and a little bit of chest hair. He’s 5’2”
I’m really hoping there is potential for growth! Thanks!