Pathophysiology of Peripheral Precocious Puberty in girls: an overview

https://doi.org/10.54088/01wsd

Authors

  • Konstantina Toutoudaki Division of Pediatric-Adolescent Gynecology, 2nd Dept Ob/Gyn, “Aretaieion” Hospital, National and Kapodistrian University of Athens, Greece
  • George Paltoglou Division of Pediatric-Adolescent Gynecology, 2nd Dept Ob/Gyn, “Aretaieion” Hospital, National and Kapodistrian University of Athens, Greece
  • Eleni Paschalidou Division of Pediatric-Adolescent Gynecology, 2nd Dept Ob/Gyn, “Aretaieion” Hospital, National and Kapodistrian University of Athens, Greece
  • Ermioni Tsarna Division of Pediatric-Adolescent Gynecology, 2nd Dept Ob/Gyn, “Aretaieion” Hospital, National and Kapodistrian University of Athens, Greece
  • Panagiotis Christopoulos Division of Pediatric - Adolescent Gynecology, 2nd Dept Ob.Gyn, Aretaieio Hospital. National and Kapodistrian University of Athens

Keywords:

precocious, puberty, peripheral, pseudopuberty, pathogenesis

Abstract

Precocious puberty can be distinguished in central, or peripheral, based on the presence or absence of the Hypothalamic- Pituitary- Gonadal axis activation. The pathogenesis of peripheral precocious puberty (PPP) is based mainly on excessive estrogenic exposure, either endogenous or exogenous. The congenital causes of PPP include McCune- Albright syndrome (MAS) and Congenital Adrenal Hyperplasia (CAH). The main causes of acquired PPP are oestrogen producing tumours, which are mainly of ovarian or adrenal origin, hypothyroidism and environmental oestrogens or substances with estrogenic function.

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Published

2021-10-14