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Case of a Girl with Delayed Puberty and Inflammatory Bowel Disease

  • Kristina Derrick
  • Aristotle Panayiotopoulos

Abstract

Pubertal staging is an important part of the adolescent physical exam. While there is a range of normal timing for puberty onset and menarche, when either of these are delayed, it requires further investigation for hormonal disorders, anatomical abnormalities, genetic causes, and underlying illnesses. This chapter focuses on females and describes normal pubertal timing, initial evaluation of delayed puberty or menarche, differential diagnoses, basic tenets of treatment, and long-term considerations.

Keywords

Delayed puberty Constitutional delay Hypogonadotropic hypogonadism Pituitary Female athlete triad Turner syndrome Polycystic ovarian syndrome Prolactin Congenital adrenal hyperplasia Disorder of sex development 

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Suggested Educational Reading, References, and Policies

  1. Abitbol L, Zborovski S, Palmert MR. Evaluation of delayed puberty: what diagnostic tests should be performed in the seemingly otherwise well adolescent? Arch Dis Child. 2016;101:767–71.CrossRefGoogle Scholar
  2. Crowley WF, Pitteloud N. Diagnosis and treatment of delayed puberty. In: Snyder PJ, Middleman AB, Geffner M, editors. UpToDate. Waltham, MA. Accessed 8 Apr 2016.Google Scholar
  3. Kaplowitz PB. Delayed puberty. Pediatr Rev. 2010;31(5):189–95.CrossRefGoogle Scholar
  4. Palmert MR, Dunkel L. Clinical practice. Delayed puberty. N Engl J Med. 2012;366(5):443–53.CrossRefGoogle Scholar
  5. Wei C, Crowne EC. Recent advances in the understanding and management of delayed puberty. Arch Dis Child. 2016;101:481–8.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Pediatric EndocrinologyChildren’s Hospital at Montefiore/Albert Einstein College of MedicineBronxUSA
  2. 2.Department of Pediatric EndocrinologyNorthwell HealthStaten IslandUSA

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