1 Introduction Short stature in children is a common clinical presentation with diverse etiologies, including genetic syndromes, systemic diseases, endocrine disorders, and idiopathic causes [1]. As part of standard evaluation, children with short stature often undergo an endocrine workup to exclude growth hormone deficiency (GHD), which affects approximately 1 in 3000–9000 children [2]. Initial assessment typically includes serum IGF-1 levels, followed by provocative GH stimulation tests.
