A 6-month-old male infant was presented to a nutritionist with a complaint of poor growth. The infant’s mother reported that the child had been meeting developmental milestones like crawling, rolling over, walking, and talking. However, his height and weight were not as expected, despite adequate breastfeeding. The infant was only breastfed and not given solid foods. Patient history The infant was born at full-term through a spontaneous vaginal delivery with no complications.
At two months follow-up, he was in the 50 th percentile for height and weight, whereas after six months, he was below 3 rd percentile for weight and was at the 3 rd percentile for height. The family history of the infant was unremarkable for any malabsorptive conditions. Physically, the child was alert, playful, and active, but his stature was small for his age. Clinical examination A skeletal survey of the infant…