Precocious Puberty in Boys: A Study Based on Five Years of Data from a Single Center in Northern China

Liu Ziqin1,2, Li Xiaohui2,3, Chen Xiaobo1

  • 1Children’s Hospital Capital Institute of Pediatrics, Clinic of Endocrinology, Beijing, China

Insights

Precocious puberty (PP) in Chinese boys is often idiopathic central PP. Peripheral PP causes include congenital adrenal hyperplasia and germ cell tumors.

Area of Science:

  • Pediatric Endocrinology
  • Reproductive Health
  • Clinical Research

Background:

  • Precocious puberty (PP) is a condition characterized by early onset of pubertal development.
  • Understanding the diverse etiologies of PP is crucial for accurate diagnosis and management in pediatric populations.

Purpose of the Study:

  • To investigate the clinical features and etiological factors of precocious puberty (PP) specifically in Chinese boys.
  • To differentiate between central precocious puberty (CPP) and peripheral precocious puberty (PPP) in this cohort.

Main Methods:

  • Retrospective analysis of data from boys diagnosed with PP between 2015 and 2020.
  • Inclusion of patients referred to a tertiary hospital in Northern China for PP evaluation.

Main Results:

  • Eighty-two boys were diagnosed with PP.
  • Central precocious puberty (CPP) accounted for 75.6% of cases, with 49 being idiopathic and 13 pathogenic.
  • Peripheral precocious puberty (PPP) comprised 24.4%, with congenital adrenal hyperplasia, germ cell tumors, and familial male-limited PP as leading causes.

Conclusions:

  • The etiology of PP in males is varied.
  • Idiopathic cases constitute the majority of central precocious puberty in Chinese boys, highlighting the need for careful evaluation to rule out organic causes.
Abstract

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