Pediatric endocrinology

Genetic Testing of Children With Familial Tall Stature: Is it Worth Doing?

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Monogenic (and cytogenetic) etiology of FTS can be found among children with FTS. Genetic examination should be considered in all children with FTS regardless of the presence of dysmorphic features.

Study context

Population
Children with familial tall stature (life-maximum height of child and taller parent >2 SD for age and sex) referred to the Endocrinology center of Motol University Hospital19 girls
Participants
34 children
Outcome
Genetic etiology of FTS
Methodological detailssingle-centre, next-generation sequencing panel of 786 growth-associated genes, cytogenetic examination, Genetic results evaluated by American College of Molecular Genetics and Genomics guidelines, All participants underwent standard endocrinological examination and specialized anthropometric evaluation
  • Single-centre
  • Next-generation sequencing panel of 786 growth-associated genes
  • Cytogenetic examination
  • Genetic results evaluated by American College of Molecular Genetics and Genomics guidelines
  • All participants underwent standard endocrinological examination and specialized anthropometric evaluation

Main finding

As reported in the abstract

Genetic cause of FTS elucidated

Genetic cause of familial tall stature (FTS) elucidated (47,XXX and 47,XYY karyotypes, SHOX duplication, causative variants in NSD1 [2], SUZ12 [2], FGFR3, CHD8, GPC3, PPP2R5D)

11 of 34

32.4%

Observational data: associations, not effects.

Further findings

Height

Median height of children
3.1 SD
Median height of taller parent
2.5 SD

Phenotype

Children with absent syndromic signs
10
Children with dysmorphic features
24

Original publication

Genetic Testing of Children With Familial Tall Stature: Is it Worth Doing? J Clin Endocrinol Metab. Published 2 February 2024. doi:10.1210/clinem/dgae067

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