Bone Age Scan/Endocrinologist
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Jjhernandez
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My 12.5 year old son is showing signs of being in puberty such as a little bit of hair in the genital area. They did some tests and his testosterone levels are elevated, but what's concerning to pedo is that the bone age scan came back delayed being that of 10-11 years old. We are being referred to an endocrinologist and I am just nervous. Are the bone age scans usually accurate?
He isn't growing normally, his feet and hands seem to still be a smaller size. Has anyone experienced this? |
Anonymous
| I have a friend with a child who has a genetic disorder and frequent bone scans. The issue for them is the bone age being older than the child's age which indicates growth will stop too early. I'm no professional by any means, but it would seem that continuing to grow, although slowly, would be better than growth stopping altogether. |
Anonymous
For what worth what we were told too is that want bone scan showing younger than actual age as suggests may be continued growth. We asked lots of questions when had done and dr were great to answer. Also ask in advance if need to for your nerves- call nurse line and say you are nervous and want to be informed before going in so can keep calm for your child. |
Jjhernandez
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| I think it's more so that the testosterone levels are elevated that is what is causing my nervousness. It doesn't match the bone scan. |
Anonymous
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The bone age usually does not match up with stages of puberty. This is completely normal. What is the concern exactly? 12.5 is hardly early puberty.
Many kids are 1-2 years delayed bone age and the bone age readings are not exact. They are an estimate and the endocrinology may re-read the scans and give a completely different bone age. |
Jjhernandez
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Okay, I didn't know that. Our pediatrician made it seem like it was abnormal. |
Jjhernandez
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She made it seem like having an elevated DHEA-S of 142 was not good with his bone age. |
Anonymous
Is this a general practice pediatrician? If so, take everything they say with a grain of salt. Professionals will speak with an air of authority on topics they know very little about. The reason they hate google is you can easily walk into their office knowing more about a niche esoteric topic they last saw 15 years ago while studying for a licensing exam |
Jjhernandez
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Yes she is a general practice pediatrician. How off are the bone scans when the endo doc reads them? Is it usually by a lot? |
Anonymous
| My daughter’s bone age was read as 2 years advanced by the radiologist but only 7 months advanced by Endo. Endo said they often have different interpretations. |
Anonymous
No idea, but don't get worked up until you speak to a specialist. Definitely worth re-doing both the bone scan and the blood tests to see if you get the same result. |
Anonymous
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I’d definitely wait to see what the specialist says, and would not be worried at all at this point.
what is the growth issue? I assume that is why you did a bone scan? Growth spurt comes later in puberty for a lot of boys FWIW. For example ped said my DS was in early puberty at 13yo appt (based on physical exam) but DS still outwardly looked like a little kid and definitely no growth spurt. It wasn’t until 14.5-15 that he started growing rapidly and looking more like a teen. |
Jjhernandez
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Yes he wasn't having normal growth per doc. |
Anonymous
My daughter had several bone age hand scans for precocious puberty. They were always off by a year or so and they were dismissed as irrelevant. A year or so either way is considered normal according to the endocrinologist that we saw. |
Anonymous
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What do you mean he isn't growing normally?
The bone age and DHEA-S numbers are a range. His seem within normal range. Is there something else that made her order the test? |