Current Concepts in Normal and Abnormal Puberty an Issue of Current Problems in Pediatric and Adoles

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Current Concepts in Normal and Abnormal Puberty,an Issue of Current Problems in Pediatric and Adolescent Health Care


Current Concepts in Normal and Abnormal Puberty, Current Problems in Pediatric and Adolescent Health Care Volume 37, Issue 2,FEB 2007Todd D. Nebesio, MD, and Erica A. Eugster, MD
Secular Trends and the Timing of Puberty 50Variants of Precocious Puberty 51Premature Thelarche 51Premature Adrenarche 52Pathologic Precocious Puberty 52Central Precocious Puberty-Etiologies 53Central Precocious Puberty-Treatment 53Peripheral Precocious Puberty-Etiologies 55Congenital Adrenal Hyperplasia 55McCune-Albright Syndrome 55Familial Male-Limited Precocious Puberty 56Pseudoprecocious Puberty (Van Wyk-GrumbachSyndrome)57Endocrine Disruptors 57Tumors 58Other Disorders 58Prepubertal Gynecomastia 58Pubic Hair of Infancy 60Premature Menses 60Delayed Puberty 60Constitutional Delay of Growth and Puberty 61Hypothalamic-Pituitary Dysfunction 61Primary Hypogonadism 62Gynecomastia 64Delayed Puberty-Treatment 65Conclusion 66
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