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Vol. 60, Suppl. 3, 2003
Issue release date: December 2003
Section title: Normal and Abnormal Puberty
Horm Res 2003;60(suppl 3):31–34
(DOI:10.1159/000074497)

Early Puberty: What Is Normal and When Is Treatment Indicated?

Ritzén E.M.
Department of Women and Child Health, Karolinska Institute, Stockholm, Sweden

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Article / Publication Details

First-Page Preview
Abstract of Normal and Abnormal Puberty

Published online: 11/17/2004
Issue release date: December 2003

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 1663-2818 (Print)
eISSN: 1663-2826 (Online)

For additional information: http://www.karger.com/HRP

Abstract

Girls and boys who enter puberty before 8 and 9 years of age, respectively (corresponding to about –3 SDS), are arbitrarily considered to need referral for endocrine investigation. A recent report from the Lawson Wilkins Pediatric Endocrine Society suggested that the limit for investigation of girls and boys should be lowered to 7 and 8 years, respectively. For African-American girls, 6 years is the suggested age. This recommendation has been criticized. Although short stature is a common end result of precocious puberty, short- and long-term psychological symptoms may be more important, since several studies have indicated psychopathology in this patient group. Whether this can be prevented by gonadotropin releasing hormone agonist treatment remains to be shown. This review will highlight the psychological aspects of early puberty. In short, aspects other than height should also be evaluated when considering treatment of the early maturing child.

© 2003 S. Karger AG, Basel


  

Author Contacts

Prof. Martin Ritzén
Paediatric Endocrinology, Karolinska Hospital
SE–17176 Stockholm (Sweden)
Tel. +46 8 51772465, Fax +46 8 51775128
E-Mail martin.ritzen@kbh.ki.se

  

Article Information

Number of Print Pages : 4
Number of Figures : 0, Number of Tables : 0, Number of References : 20

  

Publication Details

Hormone Research (International Journal of Experimental and Clinical Endocrinology)
Founded 1970 as ‘Hormones’ by M. Marois, Continued 1976 by J. Girard (1976–1995)
Official Organ of the European Society for Paediatric Endocrinology

Vol. 60, No. Suppl. 3, Year 2003 (Cover Date: Released December 2003)

Journal Editor: M.B. Ranke, Tübingen
ISSN: 0301–0163 (print), 1423–0046 (Online)

For additional information: http://www.karger.com/journals/hre


Article / Publication Details

First-Page Preview
Abstract of Normal and Abnormal Puberty

Published online: 11/17/2004
Issue release date: December 2003

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 1663-2818 (Print)
eISSN: 1663-2826 (Online)

For additional information: http://www.karger.com/HRP


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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