RT Book, Section
A1 Hay, Jr, William W.
A1 Levin, Myron J.
A1 Deterding, Robin R.
A1 Abzug, Mark J.
SR Print(0)
ID 1145458113
T1 Precocious Puberty in Girls
T2 Quick Medical Diagnosis & Treatment Pediatrics
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781264257614
LK accesspediatrics.mhmedical.com/content.aspx?aid=1145458113
RD 2024/04/23
AB Defined  as  pubertal  development  occurring  below  the  age  limit  set  for  normal  onset  of  pubertyMore  common  in  girls  than  in  boysMany  girls  showing  signs  of  puberty  between  6  and  8  years  of  age  have  a  benign,  slowly  progressing  form  that  requires  no  interventionAge  of  pubertal  onset  may  be  advanced  by  obesityCentral  precocious  puberty  in  girls  is  generally  idiopathic  but  may  be  secondary  to  a  central  nervous  system  (CNS)  abnormalities,  including  but  not  limited  toHypothalamic  hamartomasCNS  tumorsCranial  irradiationHydrocephalusTraumaPeripheral  precocious  puberty  (GnRH-independent)Occurs  independent  of  gonadotropin  secretionCan  be  caused  by  ovarian  or  adrenal  tumors,  ovarian  cysts,  late-onset  congenital  adrenal  hyperplasia,  McCune-Albright  syndrome,  or  exposure  to  exogenous  estrogen