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Living with Short stature due to growth hormone qualitative anomaly

A rare genetic condition in which growth hormone is present but does not work, causing slow growth and short height.

Understanding Short stature due to growth hormone qualitative anomaly

Short stature due to growth hormone qualitative anomaly is a rare genetic condition in which the body's growth hormone doesn't work as it should.

Children grow slowly and are short, even though growth hormone (GH) levels are normal or slightly high. Levels of a related growth signal, IGF-I, are low. Growth speeds up noticeably with growth hormone treatment. Only a few cases have been reported. Signs begin in the newborn and infant period.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Based on its summary, features include:

  • Slow growth
  • Short stature
  • Low IGF-I levels in the blood

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in GH1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Little People of America and Pituitary Network Association may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: Little People of America, Pituitary Network Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Little People of America and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing of the GH1 gene confirm this diagnosis?
Is growth hormone therapy an option for my child?
Which hormone specialist should we see?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesGH1

GARD says various changes in the GH1 gene make a growth hormone that is built wrong and biologically inactive. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticEndocrine

Also known as: biodefective growth hormone; kowarski syndrome; pituitary dwarfism with normal immunoreactive growth hormone and low somatomedin

Patient organizations

Source: NIH GARD · Short stature due to growth hormone qualitative anomalyGARD ID 408 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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