I have a child in my practice who was diagnosed with Turner Syndrome at 5 yo. Her height is far below the 3rd percentile. The endocrinologist offered GH, but it was refused, and she was lost to follow-up at least for short stature treatment.
She is now 11 yo with a bone age of 8. She is seeing the endocrinologist again who has recommended GH therapy along with her Synthroid due to hypothyroidism. The father continues to refuse therapy.
Would anyone make a referral to the Department of Health and Human Services or is this a decision a family should make?
