Open AccessA 4-Year-Old Girl with Precocious Puberty
Author(s) -
Poly Begum,
Dipti Rani Saha,
Kamrul Hassan
Publication year - 2016
Publication title -
journal of enam medical college
Language(s) - English
Resource type - Journals
eISSN - 2304-9316
pISSN - 2227-6688
DOI - 10.3329/jemc.v6i3.29684
Subject(s) - pubic hair , breast development , girl , precocious puberty , secondary sex characteristic , medicine , menstruation , vaginal bleeding , body hair , menarche , bone age , pediatrics , endocrinology , hormone , pregnancy , psychology , biology , developmental psychology , anatomy , genetics
Appearance of secondary sexual development before the age of nine in a male child and before the age of eight in a female child is called precocious puberty. Precocious puberty due to premature activation of the hypothalamic-pituitary axis is called central or complete precocious puberty. Incomplete precocious puberty is called if ectopic gonadotrophin secretion occurs in boys or autonomous sex steroid secretion occurs in either sex. Here we report a case of a 4-year-old girl brought to a gynecologist by her parents because of breast development, pubic hair and periodic per vaginal bleeding. Her medical history was unremarkable. The parents were of average height, and the mother reported first menstruation when she was 11 years. At physical examination, the girl was 100 cm tall, weighed 17 kg, and had a body mass index of 17. Her pubertal development is classified as Tanner stage 3 breast development and Tanner stage 2 pubic hair development