Pediatric endocrinology

Central Precocious Puberty in Italian Boys: Data From a Large Nationwide Cohort

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

In our study on a large nationwide cohort of boys referred for precocious puberty signs, the percentage of forms associated with CNS abnormalities was one of the lowest reported in the literature.

Study context

Population
Otherwise normal healthy boys diagnosed with central precocious puberty (CPP) during the last 2 decades in Italy
Participants
193 participants
Exposure
Magnetic resonance imaging (MRI)-based groups: no central nervous system (CNS) abnormalities vs mild incidental abnormalities vs causal pathological CNS abnormalities
Outcome
Causes of CPP and relative frequency of forms with CNS abnormalities on MRI vs idiopathic forms
Methodological detailsnational, multicenter
  • National
  • Multicenter

Main finding

As reported in the abstract

MRI findings

Observational data: associations, not effects.

Further findings

Chronological age at diagnosis <7 years and BMI >+2 SDS

Higher proportion with age at diagnosis <7 years in Group 3
P = 0.00001
Higher proportion with BMI >+2 SDS in Group 3
P < 0.01

GnRH analogue therapy started

Started GnRH analogue therapy
183/193

Final height

Final height in range of target height in all groups and in 9 untreated patients

Original publication

Central Precocious Puberty in Italian Boys: Data From a Large Nationwide Cohort. J Clin Endocrinol Metab. Published 3 February 2024. doi:10.1210/clinem/dgae035

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