4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Hello Dr. Meena, My daughter is 71/2 years old.. She is developing pubic hair and there is a slight hair growth in her under arm region. In fact I spotted her first pubic hair when she turned 5. There is absolutely no development of breasts. She weighs 26 kgs and is of normal height. She's a very bright girl and outwardly there is no sign of any physical abnormality. Is this a case of precocious puberty? What kind of tests should I go in for and treatments? Kindly advice.
Answer
Yes, pubic hair growth at the age of 5 years is precocious. Since at present she has hair growth in the axilla and in the pubic area with no development of breast, one should rule out premature adrenarche.
An ultrasound of abdomen and pelvis and urine for 17 ketosteroids would be useful as initial investigation. Depending on these further investigations may be required.

Read the article on "PRECOCIOUS PUBERTY" on www.pediatriconcall.com or from the link given below:

http://www.pediatriconcall.com/fordoctor/ diseasesandcondition/
Endocrine_disorders/precocious_puberty.asp

 
 
 
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Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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