This report presents an analysis of four patients who suffered from lo
ngstanding untreated hypothyroidism, with special attention to the pha
se of catch-up growth after the start of L-thyroxine treatment. Althou
gh a permanent height loss could not be prevented, the capacity to est
ablish a remarkable catch-up growth spurt proved to be still intact, e
ven after a long period of thyroid dysfunction. Conlusion Catch-up gro
wth in hypothyroidism may be incomplete if treatment has been started
shortly before or during puberty.