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Adult height in patients with early onset of Crohn’s disease
  1. A Sawczenko1,
  2. A B Ballinger1,
  3. N M Croft1,
  4. I R Sanderson1,
  5. M O Savage2
  1. 1Department of Adult and Paediatric Gastroenterology, Dominion House, 59 Bartholomew Close, London EC1A 7BE, UK
  2. 2Department of Paediatric Endocrinology, Dominion House, 59 Bartholomew Close, London EC1A 7BE, UK
  1. Correspondence to:
    Professor I R Sanderson

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Alemzadeh et al (

) reported that adult height, compared with the general Dutch population, was reduced by a mean of −0.9 SDS (95% confidence interval −1.55 to −0.28) in 15 Crohn’s patients with prepubertal onset of symptoms. However, the calculated deviation from “target” height (based on parental height) did not reach statistical significance and the authors have speculated that familial short stature, and not Crohn’s disease, may be a factor in this group. Furthermore, no height deficit was found in those with postpubertal onset of symptoms.

We are currently undertaking a review of those with childhood onset diseases attending our paediatric and adult IBD clinics. In the majority of cases parental height was measured by trained auxologists, although in some, details were not available in the case notes to discern the method of measurement and may therefore have included self reported parental heights. We calculated SDS scores from the revised British Longitudinal standards1 using the method described by …

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