Children with dysmorphic features may have a recognisable syndrome, such as one that is associated with a chromosomal abnormality, or they may have dysmorphic features resulting from low birth weight: (Fig. 14.14) ΓÇô note the facial features, the body asymmetry and the appearance of thinness. An early history of being difficult to feed is extremely characteristic of this very common problem. Absolute low birth weight is not a prerequisite for the diagnosis. low birth weight for the family is frequently found. If there are no obvious abnormalities on examination, and if a normal growth velocity exists, it is unlikely that there is anything amiss. Where a low growth velocity exists, however, an organic cause is usually present. Short and thin children usually have a systemic cause for their short stature, whereas endocrinopathies that cause short stature usually result in obesity.
