PUBERDADE PRECOCE

Abstract

Early puberty The purpose of this article is to present relevant information about precocious puberty and their differential diagnoses. It was held scientific literature review using electronic literature search in Medline with the keywords “precocious puberty”, “adrenarche” and “gynecomastia” and books containing relevant updated data on the subject. It was also consulted the national ordinance that addresses the clinical protocol and therapeutic guidelines for central precocious puberty. The article reviews, especially with regard to diagnosis of the underlying causes and differential diagnosis, and shows the therapeutics options for true precocious puberty. The search for an underlying cause is indicated in progressive precocious puberty in girls, especially those under the age of six years or those with risk to organic causes, suspected in the presence of pre-existing conditions or neurological signs and symptoms. In boys, it should always be performed.