A variant of normal growth that is characterized by a period of slower than expected height velocity and delayed puberty. The child’s birth weight and height are normal, but between three to six months of age there is a greater than normal downshift in growth rate. By ages 3 to 4, these children are usually growing at a low to normal rate along a growth curve that remains ≤3rd percentile for much of the remainder of childhood. The child eventually goes through a rapid growth spurt and crosses percentiles to reach an appropriate adult height (i.e., a height within the range of their genetic potential) with normal sexual development.
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