Seven-year-old girl, her breasts have started to develop, and she was examined at the hospital for central precocious puberty, and her bone age is two years older.
Condition Analysis:
17 hydroxyprogesterone is high and the bone age is two years older, it is recommended to do an ultrasound of the ovaries to see if there are follicles, if there are more than 4 mm follicles or more than 4, it may be precocious puberty, but the diagnosis cannot be fully confirmed, and a sex hormone releasing hormone stimulation test is required to confirm the diagnosis.
Condition Analysis:
From the above examination results, the child's 17 hydroxyprogesterone is elevated, so the presence of congenital adrenocortical hyperplasia should be suspected, but the elevation is not too obvious, so it is not clear, and further examination of electrolytes and blood pressure is needed to determine, and the cranial magnetic resonance examination should be improved.
Condition Analysis:
From these three labs, no evidence of congenital adrenocortical hyperplasia was seen.If this disease is suspected further tests will have to be done.For example, tests for aldosterone.To determine precocious puberty also check the number of follicles.
