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Dwarfism can be caused by about 200 distinct medical conditions, such that the symptoms and characteristics of individual people with dwarfism vary greatly. In the United States and Canada, many people with dwarfism prefer to be called little people.
Disproportionate dwarfism is characterized by one or more body parts' being relatively large or small in comparison to those of a normal adult, with growth abnormalities in specific areas being apparent. In cases of proportionate dwarfism, the body appears normally proportioned, but is abnormally small. Historically, the term midget was used to describe "proportionate dwarfs"; however, this term has now become offensive and pejorative. Hypotonia, or a lack of muscle, is common in dwarfs, but intelligence and lifespan are usually normal.
Achondroplasia is a bone-growth disorder responsible for 70% of dwarfism cases. In achondroplasia, the limbs are disproportionally short compared to the trunk (abdominal area), with the head larger than normal and characteristic facial features. Conditions in humans characterized by disproportional body parts are typically caused by one or more genetic disorders in bone or cartilage development. Extreme shortness in humans with proportional body parts usually has a hormonal cause, such as growth-hormone deficiency, once called pituitary dwarfism.
There is no single treatment for dwarfism. Individual abnormalities, such as bone-growth disorders, sometimes can be treated through surgery, and some hormone disorders can be treated through medication, but usually it is impossible to treat all the symptoms of dwarfism. Lifestyle changes often are needed to cope with the effects of dwarfism. Such devices as specialized furniture often help people with dwarfism to function normally. Many support groups help sufferers of dwarfism cope with the challenges they face and with developing and maintaining their independence.