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Precocious Puberty

Kathleen Barry, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • The appearance of secondary sex characteristics before the age of 8 years in girls and 9 years in boys

  • Normal puberty occurs between age 8 and 14 years in girls and 9 and 14 years in ...

DIAGNOSIS

Any child with secondary sexual characteristics before the age of 8 years in girls and before the age of 9 years in boys should be evaluated for precocious puberty (1,4)[B

HISTORY

  • Review pa...

TREATMENT

GENERAL MEASURES

  • GDPP: The primary reason to treat is to prevent early epiphyseal closure and reduction of adult height (2).

  • Good candidates are those who present at a younger age with rapidl...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

GDPP 
  • Evaluate every 3 to 6 months to assess pubertal growth and development and height velocity to detect abnormal growth spurt.

  • Measure bone age every 6 to 12 mon...

REFERENCES

1
Klein DA, Emerick JE, Sylvester JE, et al. Disorders of puberty: an approach to diagnosis and management. Am Fam Physician. 2017;96(9):590–599.
2
Latronico AC, Brito VN, Carel JC. Causes, di...

CODES

ICD10

  • E30.1 Precocious puberty

  • E22.8 Other hyperfunction of pituitary gland

SNOMED

  • 400179000 Precocious puberty (disorder)

  • 237816004 Central precocious puberty (disorder)

  • 19911007 Precocious female pu...

CLINICAL PEARLS

  • There are two types of precocious puberty: central and peripheral.  Premature thelarche and adrenarche can be normal variants of puberty.

  • Most common in girls and majority of cases are ...

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