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Growth is a central objective in the management of children with chronic kidney disease (CKD). This book reviews the growth patterns observed in children with CKD, as well as the causes of growth disorders and the signs and causes of protein energy loss in pediatric CKD.Methods of assessing growth and nutritional status, and the limitations of these measures in CKD, will also be reviewed.Management strategies to optimize growth and nutrition in children with CKD, including the use of recombinant growth hormone. Finally, the chapter concludes with information on the neurological development of the child with CKD.