Pediatric endocrinology

Serum kisspeptin, neurokinin B and inhibin B levels can be used as alternative parameters to distinguish idiopathic central precocious puberty (CPP) from premature thelarche in the early stages of puberty

Clin Endocrinol (Oxf)Published Cross-sectional study

Main finding · Serum kisspeptin, NKB, INHB and AMH levels; differentiation of CPP from PTResult — go to the resultAUC 0.819

Authors' conclusion

We, first showed in the same patients' group that serum kisspeptin, NKB and INHB were higher in patients with CPP and can be used as alternative parameters to distinguish CPP from PT.

Study context

Population
Girls with breast development starting before 8 years (CPP or PT) and age-matched healthy prepubertal girls; Gonadotropin-releasing hormone (GnRH) stimulation test in all with early breast development
Participants
51 / 48 / 42
Exposure
CPP vs PT vs healthy prepubertal controls
  • CPPn = 51
  • PTn = 48
  • Prepubertal controlsn = 42reference
Outcome
Serum kisspeptin, NKB, AMH and INHB levels and their diagnostic validity for CPP

Main finding

As reported in the abstract

Serum kisspeptin, NKB, INHB and AMH levels; differentiation of CPP from PT

AUC

0.819

P < 0.001

Observational data: associations, not effects.

Further findings

Age

Age

No statistically significant difference in mean age

Correlations

Serum kisspeptin, neurokinin-B (NKB) and inhibin B (INHB) positively correlated with bone age (BA) advancement and peak LH in GnRH test

Original publication

Serum kisspeptin, neurokinin B and inhibin B levels can be used as alternative parameters to distinguish idiopathic CPP from premature thelarche in the early stages of puberty. Clin Endocrinol (Oxf). Published 15 March 2023. doi:10.1111/cen.14906

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