Premature thelarche: clinical and laboratorial assessment by immunochemiluminescent assay.

نویسندگان

  • Maria F Borges
  • Kátia D Pacheco
  • Andréia A Oliveira
  • Cláudia V C Rita
  • Karla D Pacheco
  • Elisabete A M Resende
  • Beatriz H J Lara
  • Beatriz P Ferreira
چکیده

In order to establish cut-off limits and to distinguish isolated premature thelarche (IPT) from precocious puberty (PP), we evaluated data from 79 girls with premature thelarche, comparing basal and stimulated LH and FSH serum concentrations with those from 91 healthy girls. A GnRH stimulation test was performed in 10 normal girls and in 42 with premature thelarche. Comparison among groups was performed by Kruskal-Wallis and Dunns tests. LH values were significantly greater in girls with IPT than in control groups. Basal gonadotropin concentrations were higher in patients with PP than in controls, but not different from patients with IPT. Peak LH levels after GnRH stimulation distinguished those two groups, with a cut-off value of 4.0 IU/L, but still with minimal overlap. In conclusion, a girl with premature thelarche and LH peak value above 4.5 IU/L has, indeed, PP, but values between 3.5 and 4.5 IU/L point to careful follow-up.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Premature Thelarche in Later Childhood Demonstrates a Pubertal Response to GnRH Stimulation Test at One Year after Breast Development

Premature thelarche in later childhood (such as at 5-7 yr of age) is not always easy to distinguish from GnRH-dependent precocious puberty. In this study, a GnRH stimulation test was performed on 21 girls from 5 to 7.5 yr of age with early breast development. In 8 of 11 girls within 1 yr after thelarche, i.e., breast development, the GnRH stimulation test showed a prepubertal response, and in a...

متن کامل

Is Premature Thelarche in the First Two Years of Life Transient?

OBJECTIVE Premature thelarche (PT) refers to isolated onset of thelarche in girls younger than 8 years of age. Most cases have an onset under 2 years of age. We aimed to establish whether the onset of thelarche under 2 years of age certifies a transient clinical course, as suggested by several authors. METHODS Sixty-seven girls with an onset of PT under 2 years of age were classified as havin...

متن کامل

Serum bisphenol A concentration and premature thelarche in female infants aged 4-month to 2-year old

OBJECTIVES To estimate the association between serum bisphenol A and premature thelarche in female infants aged 4-mo to 2-y. METHODS A total of 251 female infants (aged 4 mo to 2 y) with premature thelarche and 33 healthy age-matched control subjects were analyzed. All participants underwent physical examination and serum bisphenol A was measured by ultra-performance liquid chromatography tan...

متن کامل

Etiologies of precocious puberty: 15-year experience in a tertiary hospital in southern Thailand.

BACKGROUND Precocious puberty (PP) is defined as the appearance of secondary sex characteristic at an age <8 years in girls and <9 years in boys, or menarche <9 years in girls. OBJECTIVE To determine the etiologies and clinical characteristics of children presenting with PP. SUBJECTS AND METHOD The medical records of 307 children (292 girls, 15 boys) with PP (1995-2009) were reviewed. RES...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Arquivos brasileiros de endocrinologia e metabologia

دوره 52 1  شماره 

صفحات  -

تاریخ انتشار 2008