Puberdade precoce

Isabel R. Madeira

Resumo


O objetivo do presente artigo é apresentar informações relevantes a respeito de puberdade precoce e de seu diagnóstico diferencial. Foi realizada revisão de literatura científica utilizando busca bibliográfica eletrônica no Medline com as palavras-chave “precocious puberty”, “adrenarche” e “gynecomastia” e livros textos contendo dados atualizados relevantes sobre o tema. Foi também consultada a portaria nacional que trata do protocolo clínico e diretrizes terapêuticas em puberdade precoce central. Além da revisão, especialmente no que se refere ao diagnóstico das causas subjacentes e ao diagnóstico diferencial, o artigo apresenta a conduta terapêutica de puberdade precoce verdadeira. A pesquisa de uma causa subjacente está sempre indicada em meninos. Deve ser realizada em meninas com puberdade precoce progressiva, principalmente quando as manifestações se iniciam antes dos seis anos de idade ou naquelas com risco para causas orgânicas, aventadas em função de condições pré-existentes ou sinais e sintomas neurológicos.

Descritores: Puberdade precoce; Adrenarca; Ginecomastia.


Referências


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