The Kabuki Kid

A 5-year-old child was presented to the Outpatient Department (OPD) by his mother with complaints that her child was not gaining adequate height. She started noticing it around the age of 3 years compared to the children in Anganwadi. She also complained that he had less interest in activities compared to the children in his peer group. There is also a history of poor performance at the Anganwadi in writing or singing rhymes. There was no history of inadequate dietary intake, inadequate diet intake, pallor or pedal edema.