PRECOCIOUS PUBERTY - AUXOLOGICAL CRITERIA DISCRIMINATING DIFFERENT FORMS

被引:4
作者
BASSI, F [1 ]
BARTOLINI, O [1 ]
NERI, AS [1 ]
GHERI, RG [1 ]
BUCCIANTINI, S [1 ]
CHELI, D [1 ]
BRUNI, V [1 ]
机构
[1] USL 10D, DIV RADIOL, FLORENCE, ITALY
关键词
PRECOCIOUS PUBERTY; LH-RH ANALOGS; PREDICTED HEIGHT; BONE AGE;
D O I
10.1007/BF03347778
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
It may be possible to recognize different forms of precocious puberty at the first evaluation. In a group of 26 sexually precocious girls we used Bayley-Pinneau predicted adult height (P.A.H.) to discriminate patients with 'poor' or 'good' height prognosis. Patients with evidence of impaired height prognosis (P.A.H. <-1 SDS) (Group 1)were immediately treated with LH-RH analogs, while patients with unimpaired height prognosis (P.A.H. >-1 SDS) (Group 2) were followed without therapy. Two yr of treatment significantly improved P.A.H. in Group 1 patients, from a mean of -1.68+/-0.4 to a mean of -0.57+/-0.6 (SDS) (p<0.01). After the 2 yr observation period, Group 2 patients showed no significant variation of P.A.H. (from a mean of 0.45+/-0.8 to a mean of 0.33+/-0.6). The retrospective analysis of the growth pattern changes in the two Groups seems to indicate that LH-RH agonist treatment improves height potential in girls with initial poor height prognosis and that girls with initial good height prognosis maintain an unimpaired growth potential.
引用
收藏
页码:793 / 797
页数:5
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