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Objective To study the effect of the body proportion and pubertal growth spurt on the stature of children with β-thalassaemia major.Conclusions An abnormal U:L ratio was commonly observed in patients with β-thalassaemia major and may be one factor contributing to the short stature of these patients. Abnormal puberty was present in a significant proportion of children and the lack of a pubertal growth spurt was found to be detrimental to adult height.