Pediatric Oncall
facebook
twitter
youtube
instagram
rss
Home
Diseases and Conditions › Pediatric Endocrinology › Precocious Puberty

Precocious Puberty
Dr. Mrs. Meena P. Desai
More..
fb
twitter
print
Precocious Puberty - Investigations
Q. What investigations are helpful ?
A. Bone age is advanced in TPP and is extremely helpful at the time of initial diagnosis as well as on follow up. Pelvic sonography for uterine and ovarian size and morphology are necessary and also help in excluding a primary ovarian pathology. Bilateral enlargement of ovaries with small follicular cysts and enlargement of uterus favors HPG axis activation. CNS imaging is very valuable in excluding intracranial organic lesions and detecting hypothalamic hamartomas. Vaginal cytology shows marked estrogen effect in TPP. Hormonal evaluation includes estimation of sex steroids, serum Estradiol (>10pg/ml) or testosterone (>0.2ng/ml) and gonadotropins (>1 IU/L) which may be in the pubertal range. LH, FSH response to GnRH stimulation test with a LH/FSH ratio exceeding 1, favors CPP.

Study of thyroid hormones, adrenal androgens and 17 - hydroxyprogesterone may be undertaken as indicated. ACTH stimulation and Dexamethasone suppression tests may be required in girls with premature adrenarche to differentiate from primary adrenal disease such as congenital adrenal hyperplasia. Adrenal imaging be occasionally required to exclude virilizing adrenal tumor. Bilateral adrenal hyperplasia may be seen in cases with CAH.
Precocious Puberty Precocious Puberty 02/25/2001
<< Precocious Puberty - Presentation Precocious Puberty - Treatment >>
ask a doctor
Ask a Doctor
Book Store
Infection in Children - Part 3 Infection in Children - Part 3
Order Now
Join Us
facebook
twitter
youtube
instagram
rss
Pediatric Oncall
Pediatric Oncall
Medical Calculators
Medical Calculators
Drug Center
Drug Center
Pediatric Oncall Journal
Pediatric Oncall Journal
Parenting
Parenting
Vaccine Reminder
Vaccine Reminder

Home

 About Us
Link To Us
Terms & Conditions
Privacy Policy

 
Online Ordering Policy
Sitemap
Feedback

Partner Sites

HIV in Childern
Medical ADRIS
Vaccine Reminder
Pediatric Oncall Journal
Infection in Children - Part 3

New Arrival

Infection in Children - Part 3

Other Pediatric Oncall Books
View More Books
DMCA
COPYSCAPE
Copyright © 2001 - 2020 Pediatric Oncall All Rights Reserved. All trademarks used are the properties of their respective owners.
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0