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Pediatric Endocrinology (Expert Forum)
Bone age
Answered by
Deanna L Aftab Guy, MD - Short Stature, thyroid, Pituitary abnormalit, Puberty concerns, Rapid Growth, Adrenal problems, Parathyroid abnormal, Rickets and bone dis
Vanderbilt Children’s Hospital
Nashville - TN
Questions in the Pediatric Endocrinology forum are answered by Dr. Deanna L Aftab Guy, affiliated with Vanderbilt Children's Hospital. Topics covered include adrenal problems, diabetes insipidus, menstrual irregularities, obesity, parathyroid abnormalities, pituitary abnormalities, puberty concerns, rapid growth, rickets and bone disease, short stature, and thyroid.
Bone age
by karavind, Mar 15, 2008 04:06AM
My sister's child is 3yrs 2 months old. Having underarm odor since last few months. No other signs of puberty. Seen by the family physician and had bone age which is 3yrs and 10months. When do you say the bone age is advanced? When do you say bone age is delayed? Is there any cut off?
Thank you for the help.
Thank you for the help.
Doctor's Answer
by Deanna L Aftab Guy, MD, Mar 28, 2008 09:50AM
, Mar 28, 2008 09:50AM
To: karavind
The bone age sounds good, not advanced. This is one way of seeing inside the body to look at how hormones are influencing things, but the goal is not to see an advanced bone age and to catch things before the bones advance. So body odor alone with no hair in pubic or axillary area is not so bad, but we still want to evaluate this for the earliest sign of a hormonal inbalance from the adrenal gland hormones. These make male hormones that change the odor of nice smelling baby sweat and give it the classic stinky body odor smell we all fear. Glad they did a bone age, I would either have her monitored very closely for any sign of pubic or axillary hair or even ask the family doc to call the pediatric endocrinologist to discuss any labs that might be helpful and supportive while we do watchful waiting.
Karavind