COVID-19 portal | Vitamin D | CDC | Vaccine | Ketogenic diet

WikiMD is the world's largest medical encyclopedia with
327,238 articles, 3,628,470 edits, & 32,995,576 views

Let food be thy medicine, and medicine be thy food - Hippocrates


From WikiMD
Jump to navigation Jump to search
This page contains changes which are not marked for translation.

Editor-In-Chief: Prab R. Tumpati M.D.. Founder, WikiMD and W8MD Weight Loss, Sleep and MedSpa Centers. Dr. Tumpati is board certified physician practicing sleep medicine, obesity medicine, aesthetic medicine and internal medicine. Dr. Tumpati’s passion is prevention rather than cure. As a physician with fellowship training in Obesity Medicine, Dr. Tumpati has a unique approach to wellness, weight loss, aesthetics with a focus on prevention rather than cure. Dr. Tumpati believes in educating the public on the true science and art of medicine, nutrition, wellness and beauty.

WikiMD Resources for Dwarfism


Most recent articles on Dwarfism

Most cited articles on Dwarfism

Review articles on Dwarfism

Articles on Dwarfism in N Eng J Med, Lancet, BMJ


Powerpoint slides on Dwarfism

Images of Dwarfism

Photos of Dwarfism

Podcasts & MP3s on Dwarfism

Videos on Dwarfism

Evidence Based Medicine

Cochrane Collaboration on Dwarfism

Bandolier on Dwarfism

TRIP on Dwarfism

Clinical Trials

Ongoing Trials on Dwarfism at Clinical

Trial results on Dwarfism

Clinical Trials on Dwarfism at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Dwarfism

NICE Guidance on Dwarfism


FDA on Dwarfism

CDC on Dwarfism


Books on Dwarfism


Dwarfism in the news

Be alerted to news on Dwarfism

News trends on Dwarfism


Blogs on Dwarfism


Definitions of Dwarfism

Patient Resources / Community

Patient resources on Dwarfism

Discussion groups on Dwarfism

Patient Handouts on Dwarfism

Directions to Hospitals Treating Dwarfism

Risk calculators and risk factors for Dwarfism

Healthcare Provider Resources

Symptoms of Dwarfism

Causes & Risk Factors for Dwarfism

Diagnostic studies for Dwarfism

Treatment of Dwarfism

Continuing Medical Education (CME)

CME Programs on Dwarfism


Dwarfism en Espanol

Dwarfism en Francais


Dwarfism in the Marketplace

Patents on Dwarfism

Experimental / Informatics

List of terms related to Dwarfism

Dwarfism is a condition in which a person, animal or plant is much below the ordinary size of the species. When applied to people, it implies not just extreme shortness, but a degree of disproportion. Dwarfism is now rarely used as a medical term and is sometimes considered impolite or pejorative. While the term little person is the most common expression in America, "dwarf" is still considered polite. According to the Little People of America the human definition of dwarfism is "a medical or genetic condition that usually results in an adult height of 4'10" (147 cm) or shorter, among both men and women, although in some cases a person with a dwarfing condition may be slightly taller than that." There are approximately 200 different types of dwarfism [1]

Of the hundreds of causes of dwarfism in humans, most are genetic, and most involve single gene variations that affect the structure or metabolism of bone, cartilage, or connective tissue. This class of disorder is referred to by physicians as skeletal dysplasia. Chondrodystrophy, chondrodysplasia, osteochondrodystrophy are also used (fairly interchangeably) in the medical literature to refer to most of these conditions. In many of these conditions, the bones are the primary affected body part, and the person is otherwise healthy. In many others, the genetic difference affects other body systems, causing unusual features or other major problems. Achondroplasia is one of the most common and perhaps the most easily recognized skeletal dysplasia. It affects approximately 1 in 40,000 children, both males and females, as it is due to a mutation of an autosomal gene.

Insular dwarfism

Dwarfism is not always a disadvantage. For instance, insular dwarfism is the dwarfism of species due to isolated environment and it helps to reduce the need for food.

If Homo floresiensis, discovered in 2003, turns out to be a true species, then it will be the first known example of insular dwarfism of human beings.

Problems faced by people with these conditions

  • Social and employment opportunities are greatly reduced, regardless of anti-discrimination laws. Self-esteem and family relationships are often affected, although not necessarily if the person(s) involved are emotionally healthy.
  • Extreme shortness (in the low 2–3 foot [60–90 cm] range) can interfere with ordinary activities of daily living, like driving or even using countertops built for taller people.
  • Many can have problems produced by the abnormal bone structures. Early degenerative joint disease, exaggerated lordosis or scoliosis, and constriction of spinal cord or nerve roots can cause pain and disability. Reduced thoracic size can restrict lung growth and reduce pulmonary function.
  • Many of the conditions are associated with disordered function of other organs, such as brain or liver (although this is rare). These problems can be more disabling than the abnormal bone growth.


Shortness is usually the concern that brings the child to medical attention. Skeletal dysplasia ("dwarfism") is usually suspected because of obvious physical features (e.g., unusual configuration of face or shape of skull), because of an obviously affected parent, or because body measurements (arm span, upper to lower segment ratio) indicate disproportion. Bone x-rays are often the key to diagnosis of a specific skeletal dysplasia. Most children with suspected skeletal dysplasias will be referred to a genetics clinic for diagnostic confirmation and genetic counselling. See below external links for a list of American referral centers with special expertise in skeletal dysplasias. In the last decade, genetic tests for some of the specific disorders have become available.

During the initial medical evaluation for shortness, the absence of disproportion and the other clues above usually indicates other causes than bone dysplasias. Extreme proportional shortness sometimes indicates growth hormone deficiency.


Little person (as opposed to big person), and short-statured are currently preferred terms to refer to a person with extreme, disproportionate shortness. Dwarf is sometimes perceived as having negative connotations, although the term is often used by those affected. The plural is dwarfs as in "Peter Dinklage and Wee Man are famous, handsome dwarfs." The plural term dwarves is used only for the imaginary creature. In the 19th century both dwarf and midget were ordinary medical terms referring to persons of disproportionate and proportionate shortness, respectively. Like many other older medical terms, they became primarily pejorative as they entered popular use. Midget is now considered offensive in all contexts to most little people, because of its connotation with little people being gawked at in circus/sideshows.

In popular culture and the arts

The Dwarf Don Sebastián de Morra, by Velázquez. In his portraits of the dwarfs of Spain's royal court, the artist preferred a serious tone that emphasized their human dignity.

Dwarfism is such an obvious difference that it attracts curiosity, humor, and imagination. People have paid just to look at dwarfs or to keep them around for amusement (for example, dwarf tossing). In many times and places this may be the most attractive employment option available, as was the case for some jesters of medieval Europe.

When depicted in art, literature, or movies, dwarfs are rarely depicted as "regular people who are very short" but often as a species apart. Novelists, artists, and moviemakers attach special moral or aesthetic significance to the "apartness" or the misshapenness.

Artistic representations of dwarfism can be found on Greek vases and other ancient artifacts, including ancient Egyptian art. Many European paintings (especially Spanish) of the 16th19th centuries depict dwarfs by themselves or with others.

Several novels have treated dwarfism as a major theme, not necessarily realistically:

Leslie Fiedler's Freaks: Myths and Images of the Secret Self (1979) is considered an intelligent and sensitive exploration of the cultural significance and artistic treatments of differentness. Other readers may feel that he valued physically unusual people for their differentness, not for their personhood, when he laments medical treatment for reducing the number of picturesquely different people around.

Several 20th and 21st century movies & TV shows have addressed the topic or made much use of dwarfs:

The actor and stunt man Verne Troyer has become famous playing the character "Mini-Me" in two Austin Powers movies.

The 1960s television series The Wild Wild West featured a dwarf, Michael Dunn, as the recurring character Dr. Miguelito Loveless, the brilliant but insane archenemy of Secret Service agents James West and Artemus Gordon.

In the 1990s, the immensely popular series Seinfeld featured a dwarf character, Mickey Abbott, in seven episodes; Mickey was played by actor Danny Woodburn. Notably, he was a normal character and few references were made to his height, indicating an improved acceptance of little people in entertainment.

Famous people with dwarfism

See also

External links

W8MD weight loss logo

Ad. Tired of being overweight?. W8MD's insurance Weight loss program can HELP*

Other languages:

Quick links: Medicine Portal | Encyclopedia‏‎‏‎ | Gray's Anatomy‏‎ | Topics‏‎ |‏‎ Diseases‏‎ | Drugs | Wellness | Obesity‏‎ | Metabolic syndrome | Weight loss*
Disclaimer: The entire contents of WIKIMD.ORG are for informational purposes only and do not render medical advice or professional services. If you have a medical emergency, you should CALL 911 immediately! Given the nature of the wiki, the information provided may not be accurate, misleading and or incorrect. Use the information on this wiki at your own risk! See full Disclaimer.
Link to this page: <a href="">Dwarfism</a>

  • Individual results may vary for weight loss from our sponsors.