Central Precocious Puberty: Update on Diagnosis and Treatment.

Central Precocious Puberty: Update on Diagnosis and Treatment.
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DOI:
10.1007/s40272-015-0130-8
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发表时间:
2015-08
期刊:
Paediatric drugs
影响因子:
--
通讯作者:
Eugster EA
Eugster EA
中科院分区:
其他
文献类型:
--
作者:
Chen M;Eugster EA

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中枢性性早熟(CPP)的特征是与正常时间的青春期相同的生化和生理特征,但发生在异常早期。大多数CPP病例见于女孩,通常是特发性的。相比之下,约50%的CPP男孩有可识别的原因。CPP的诊断依赖于临床、生化和放射学特征。未经治疗,CPP有可能导致早期骨骺融合和成人身高的显著损害。因此,治疗的主要目标是保持身高潜力。CPP的金标准治疗是促性腺激素释放激素(GnRH)类似物(GnRHa)。具有一系列递送系统和作用持续时间的许多制剂可商购获得。虽然治疗CPP的患者的结果通常是有利的,但需要更多关于心理方面,最佳监测和所有形式GnRHa治疗的长期影响的研究。存在GnRHa的几种潜在治疗替代方案,并等待进一步的研究。
Central precocious puberty (CPP) is characterized by the same biochemical and physical features as normally timed puberty but occurs at an abnormally early age. Most cases of CPP are seen in girls, in whom it is usually idiopathic. In contrast, ∼50 % of boys with CPP have an identifiable cause. The diagnosis of CPP relies on clinical, biochemical, and radiographic features. Untreated, CPP has the potential to result in early epiphyseal fusion and a significant compromise in adult height. Thus, the main goal of therapy is preservation of height potential. The gold-standard treatment for CPP is go-nadotropin-releasing hormone (GnRH) analogs (GnRHa). Numerous preparations with a range of delivery systems and durations of action are commercially available. While the outcomes of patients treated for CPP have generally been favorable, more research about the psychological aspects, optimal monitoring, and long-term effects of all forms of GnRHa treatment is needed. Several potential therapeutic alternatives to GnRHa exist and await additional investigation.
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