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Published on: October 13, 2018
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.
Objective:
To evaluate the clinical features and etiology of precocious puberty (PP) in Chinese boys.
Methods:
In this study, data from boys who were referred for evaluation of PP from 2015 to 2020 at a tertiary hospital in Northern China were retrospectively analyzed.
Results:
Eighty-two boys were diagnosed with PP from 2015 to 2020. Sixty-two patients (75.6%) were diagnosed with central PP (CPP), and twenty patients (24.4%) were diagnosed with peripheral PP (PPP). In the CPP group, forty-nine cases were classified as idiopathic CPP, and thirteen patients had pathogenic CPP. The top three causes of PPP were congenital adrenal hyperplasia, germ cell tumors and familial male-limited PP.
Conclusion:
The etiology of PP in males is diverse. The majority of CPP cases in Chinese boys are idiopathic rather than organic.
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