Abstract
Official Journal of the Endocrine Society of Sri Lanka. The Sri Lanka Journal of Diabetes Endocrinology and Metabolism (SJDEM) publishes original research articles, reviews, and other special features related to diabetes, endocrinology and metabolism in humans and human tissue.
Highlights
Precocious puberty in girls is defined as the development of secondary sexual characteristics before the age of eight years
Magnetic resonance imaging (MRI) of the head with special attention to the hypothalamo pituitary region is indicated in patients with CPP to look for a tumor or an intracerebral lesion after hormonal studies indicate a diagnosis of central precocious puberty [3, 4]
We describe a child with central precocious puberty whose MRI of the brain was suggestive of an anterior pituitary tumour without mass effect
Summary
Precocious puberty in girls is defined as the development of secondary sexual characteristics before the age of eight years. A 5 year and 7 month old baby girl was referred to our pediatric endocrinology unit for evaluation of bilateral breast enlargement and growth of pubic hair of six months duration followed by one episode of vaginal spotting, initially noticed one week prior to her presentation. Her birth history was unremarkable and her growth and development were normal until 3 years of age. It has been reported that the size of the pituitary gland enlarges during puberty [10,11,12] This was the reason for the MRI findings and the normal GH assay in our patient. After 9 months of follow up, the child’s growth stabilized with regression of breast tissue and cessation of menstruation
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