RT Book, Section
A1 Appachi, Elumalai
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114879609
T1 Precocious Puberty
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114879609
RD 2024/04/19
AB A  4-year-old  Caucasian  girl  presents  to  her  pediatrician  because  of  early  development  of  breast  buds,  pubic  hair,  and  body  odor.  On  exam,  the  girl  is  noted  to  have  Tanner  stage  3  breast  buds  and  pubic  hair.  She  is  also  noted  to  have  clitoromegaly  (Figure  200-1).  The  pediatrician  refers  the  girl  to  a  pediatric  endocrinologist,  who  orders  a  bone  age,  estradiol  levels,  and  an  MRI  of  the  brain.  The  girl  is  found  to  have  an  advanced  bone  age  of  7  years,  and  levels  of  estradiol  consistent  with  her  stage  of  sexual  development.  An  MRI  of  the  brain  is  normal.  She  is  diagnosed  with  idiopathic  central  precocious  puberty.  The  options  for  management  are  discussed  with  the  family.