Raras
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Puberdade precoce central rara
ORPHA:650063PCDT · SUSDOENÇA RARA

A Puberdade Precoce Central (PPC), também chamada de puberdade precoce que depende de hormônios do cérebro (gonadotrofinas), é uma doença do desenvolvimento ligada ao sistema hormonal. Ela se caracteriza pelo início das mudanças da puberdade, com o aparecimento das características sexuais secundárias, crescimento acelerado e o amadurecimento rápido dos ossos, tudo isso antes da idade considerada normal para a puberdade (8 anos em meninas e 9 anos em meninos).

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

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A Puberdade Precoce Central (PPC), também chamada de puberdade precoce que depende de hormônios do cérebro (gonadotrofinas), é uma doença do desenvolvimento ligada ao sistema hormonal. Ela se caracteriza pelo início das mudanças da puberdade, com o aparecimento das características sexuais secundárias, crescimento acelerado e o amadurecimento rápido dos ossos, tudo isso antes da idade considerada normal para a puberdade (8 anos em meninas e 9 anos em meninos).

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SUS: Cobertura mínimaScore: 30%
PCDT disponível
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🦴
Ossos e articulações
2 sintomas
📏
Crescimento
2 sintomas

+ 4 sintomas em outras categorias

Características mais comuns

Telarca prematura
Maturação esquelética acelerada
Pubarca prematura
Baixa estatura
Hipotireoidismo
Nível elevado de hormônio folículo estimulante circulante
8sintomas
Sem dados (8)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 8 características clínicas mais associadas, ordenadas por frequência.

Telarca prematuraPremature thelarche
Maturação esquelética aceleradaAccelerated skeletal maturation
Pubarca prematuraPremature pubarche
Baixa estaturaShort stature
HipotireoidismoHypothyroidism

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa5
Últimos 10 anos200publicações
Pico202561 papers
Linha do tempo
2021Hoje · 2026🧪 1993Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

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Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

4 genes identificados com associação a esta condição.

MKRN3E3 ubiquitin-protein ligase makorin-3Disease-causing germline mutation(s) inDesconhecido
FUNÇÃO

E3 ubiquitin ligase catalyzing the covalent attachment of ubiquitin moieties onto substrate proteins. Acts as a key developmental timer that helps ensure puberty begins at the appropriate age, by inhibiting premature activation of the reproductive hormone cascade. Epigenetically regulates GNRH1 transcription by disrupting the binding of methyl-DNA binding protein 3/MBD3 to the promoter of GNRH1. Mechanistically, mediates the non-proteolytic ubiquitination of MBD3 at multiple sites with 'Lys27' u

LOCALIZAÇÃO

Nucleus

MECANISMO DE DOENÇA

Precocious puberty, central 2

A condition defined as the development of secondary sexual characteristics in boys and girls at a chronological age that is 2.5 standard deviations below the mean age at onset of puberty in the population. Central precocious puberty results from premature activation of the hypothalamic-pituitary-gonadal axis.

EXPRESSÃO TECIDUAL(Baixa expressão)
Brain Spinal cord cervical c-1
3.4 TPM
Testículo
1.9 TPM
Glândula salivar
1.7 TPM
Hipocampo
1.6 TPM
Esôfago - Mucosa
1.4 TPM
OUTRAS DOENÇAS (3)
precocious puberty, central, 2genetic central precocious puberty in malegenetic central precocious puberty in female
HGNC:7114UniProt:Q13064
KISS1RKiSS-1 receptorDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Receptor for kisspeptins (kisspeptin-10, kisspeptin-13, kisspeptin-14 and metastin/kisspeptin-54) (PubMed:11457843, PubMed:11527393, PubMed:15020672, PubMed:15596153). The hypothalamic KISS1/KISS1R signaling system plays a central role in the regulation of the hypothalamic-pituitary-gonadal reproductive axis by modulating the secretion of gonadotropin-releasing hormone (GnRH) from GnRH neurons (PubMed:12944565, PubMed:14573733, PubMed:15598687, PubMed:17164310, PubMed:18272894). In these neurons

LOCALIZAÇÃO

Cell membrane

VIAS BIOLÓGICAS (2)
G alpha (q) signalling eventsPeptide ligand-binding receptors
MECANISMO DE DOENÇA

Hypogonadotropic hypogonadism 8 with or without anosmia

A disorder characterized by absent or incomplete sexual maturation by the age of 18 years, in conjunction with low levels of circulating gonadotropins and testosterone and no other abnormalities of the hypothalamic-pituitary axis. In some cases, it is associated with non-reproductive phenotypes, such as anosmia, cleft palate, and sensorineural hearing loss. Anosmia or hyposmia is related to the absence or hypoplasia of the olfactory bulbs and tracts. Hypogonadism is due to deficiency in gonadotropin-releasing hormone and probably results from a failure of embryonic migration of gonadotropin-releasing hormone-synthesizing neurons. In the presence of anosmia, idiopathic hypogonadotropic hypogonadism is referred to as Kallmann syndrome, whereas in the presence of a normal sense of smell, it has been termed normosmic idiopathic hypogonadotropic hypogonadism (nIHH). HH8 inheritance pattern is autosomal recessive.

EXPRESSÃO TECIDUAL(Baixa expressão)
Hipotálamo
3.2 TPM
Linfócitos
2.5 TPM
Brain Nucleus accumbens basal ganglia
2.0 TPM
Pituitária
1.8 TPM
Brain Anterior cingulate cortex BA24
1.0 TPM
OUTRAS DOENÇAS (5)
hypogonadotropic hypogonadism 8 with or without anosmiacentral precocious puberty 1genetic central precocious puberty in malehypogonadotropic hypogonadism
HGNC:4510UniProt:Q969F8
DLK1Protein delta homolog 1Candidate gene tested inAltamente restrito
FUNÇÃO

May have a role in neuroendocrine differentiation

LOCALIZAÇÃO

MembraneCytoplasm

VIAS BIOLÓGICAS (1)
Activated NOTCH1 Transmits Signal to the Nucleus
EXPRESSÃO TECIDUAL(Tecido-específico)
Glândula adrenal
604.0 TPM
Pituitária
516.2 TPM
Ovário
147.9 TPM
Testículo
23.3 TPM
Hipotálamo
20.7 TPM
OUTRAS DOENÇAS (8)
genetic central precocious puberty in femalegenetic central precocious puberty in malepaternal uniparental disomy of chromosome 14paternal 14q32.2 microdeletion syndrome
HGNC:2907UniProt:P80370
KISS1Metastasis-suppressor KiSS-1Candidate gene tested inDesconhecido
FUNÇÃO

Kisspeptins are ligands for the G-protein coupled receptor KISS1R/GPR54 (PubMed:11385580, PubMed:11457843, PubMed:11527393, PubMed:12879005, PubMed:15020672, PubMed:15596153). The hypothalamic KISS1/KISS1R signaling system plays a central role in the regulation of the hypothalamic-pituitary-gonadal reproductive axis by modulating the secretion of gonadotropin-releasing hormone (GnRH) from GnRH neurons (PubMed:15219839, PubMed:15598687, PubMed:22335740). In these neurons, kisspeptin binding to it

LOCALIZAÇÃO

Secreted

VIAS BIOLÓGICAS (2)
G alpha (q) signalling eventsPeptide ligand-binding receptors
MECANISMO DE DOENÇA

Hypogonadotropic hypogonadism 13 with or without anosmia

A disorder characterized by absent or incomplete sexual maturation by the age of 18 years, in conjunction with low levels of circulating gonadotropins and testosterone and no other abnormalities of the hypothalamic-pituitary axis. In some cases, it is associated with non-reproductive phenotypes, such as anosmia, cleft palate, and sensorineural hearing loss. Anosmia or hyposmia is related to the absence or hypoplasia of the olfactory bulbs and tracts. Hypogonadism is due to deficiency in gonadotropin-releasing hormone and probably results from a failure of embryonic migration of gonadotropin-releasing hormone-synthesizing neurons. In the presence of anosmia, idiopathic hypogonadotropic hypogonadism is referred to as Kallmann syndrome, whereas in the presence of a normal sense of smell, it has been termed normosmic idiopathic hypogonadotropic hypogonadism (nIHH).

EXPRESSÃO TECIDUAL(Tecido-específico)
Testículo
8.1 TPM
Pituitária
3.0 TPM
Cerebelo
2.0 TPM
Brain Nucleus accumbens basal ganglia
1.9 TPM
Fígado
1.7 TPM
OUTRAS DOENÇAS (3)
hypogonadotropic hypogonadism 13 with or without anosmiagenetic central precocious puberty in malehypogonadotropic hypogonadism
HGNC:6341UniProt:Q15726

Variantes genéticas (ClinVar)

126 variantes patogênicas registradas no ClinVar.

🧬 KISS1: NM_002256.4(KISS1):c.226G>A (p.Glu76Lys) ()
🧬 KISS1: GRCh37/hg19 1q21.1-44(chr1:143932350-249224684)x3 ()
🧬 KISS1: NM_002256.4(KISS1):c.345C>G (p.Asn115Lys) ()
🧬 KISS1: NC_000001.10:g.(?_190829412)_(216061974_?)del ()
🧬 KISS1: GRCh37/hg19 1q32.1(chr1:199373229-204335027)x3 ()
Ver todas no ClinVar

Vias biológicas (Reactome)

3 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

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Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Central Precocious Puberty and Optic Pathway Glioma in Children with Neurofibromatosis 1: Associations with Tumor Location, Vision, and Treatment.

The Journal of pediatrics2026 Mar 02

Neurofibromatosis 1-associated optic pathway gliomas (OPGs) may co-occur with central precocious puberty (CPP). Using large language model-based data analysis from 2 NF centers, we compared OPGs in children with NF1, with and without CPP. CPP was associated with hypothalamic involvement, poorer vision, and a higher likelihood of OPG treatment.

#2

Isolated Premature Menarche in a 17-Month-Old: A Case Report.

The American journal of case reports2026 Mar 23

BACKGROUND Vaginal bleeding in prepubertal girls is an uncommon finding and should always prompt thorough evaluation. Puberty is a complex physiological process resulting from maturation of the hypothalamic-pituitary-gonadal axis. Precocious puberty is defined as the early onset of secondary sexual characteristics before the age of 8 years in girls. The incidence ranges from 1 in 5000 to 1 in 10 000 girls worldwide. In contrast, isolated premature menarche is a rare and benign condition characterized by vaginal bleeding without other signs of pubertal activation and remains a diagnosis of exclusion. CASE REPORT We report a 17-month-old female infant who presented with recurrent vaginal bleeding every month over the 3 months prior to admission. Physical examination showed normal external genitalia, with no signs of inflammation, trauma, foreign body, or sexual abuse. There were no secondary sexual characteristics, and growth parameters were appropriate for age. Laboratory examination revealed prepubertal basal gonadotropin levels, normal hormonal levels, normal thyroid function tests, and bone age consistent with chronological age. Platelet function testing showed hyperaggregation, considered a transient and incidental finding. Pelvic ultrasonography demonstrated the size of the uterus was consistent with the age of puberty. After exclusion of local, endocrine, and systemic causes, a diagnosis of isolated premature menarche was established. CONCLUSIONS Menstrual-like vaginal bleeding in prepubertal girls requires systematic and comprehensive examination to differentiate isolated premature menarche from other diseases. Recognition of this benign entity is important to avoid unnecessary interventions and ascertain appropriate follow-up.

#3

Genotype-phenotype correlation and challenges in mutation detection in McCune-Albright syndrome: a retrospective study of a French cohort.

Annales d'endocrinologie2026 Mar 19

McCune-Albright syndrome MAS is a rare mosaic disorder caused by post-zygotic GNAS activating mutations. MAS is characterized by fibrous dysplasia (FD) of the skeleton, café-au-lait skin macules, and hyperfunctioning endocrinopathies such as precocious puberty, thyroid disease, growth hormone excess, and FGF23-mediated phosphate wasting. Mosaicism leads to marked clinical heterogeneity and complicates molecular diagnosis. We retrospectively analyzed clinical and genotyping data of patients referred for suspected or clinically diagnosed MAS in a single French center (2014-2025). GNAS R201C and R201H mutations were detected by digital droplet PCR using peripheral blood as first-line samples, with additional testing of circulating cell-free, saliva, or tissue when indicated. We included 405 patients, from which 89 (22%) carried a GNAS mutation (52 R201C, 37 R201H). No significant clinical differences were observed between R201C and R201H. Among 578 analyzed samples, mutation detection varied by sample type, with the highest rates in tissue. Mutant allele frequency (MAF) in blood DNA was higher in patients with polyostotic than in FD (p = 0.0055), but was not associated with the overall MAS-related lesion number. No correlation was found between MAF and age at diagnosis. MAS shows substantial clinical and molecular heterogeneity without clear genotype-phenotype differences between R201 variants. Mutation detection strongly depends on sample type, reflecting disease mosaicism. A multimodal diagnostic strategy and larger collaborative cohorts are needed to optimize molecular diagnosis and refine genotype-phenotype correlations in MAS patients.

#4

A Review of Pituitary Duplication and First Report of Associated Precocious Puberty in a Boy.

Hormone research in paediatrics2026 Mar 20

Pituitary duplication is a rare congenital malformation, with fewer than 80 cases reported in the literature. It is often associated with midline malformations but can also occur in isolation. Central precocious puberty (CPP) is the most common endocrinological manifestation, but to date this has only ever been reported in female patients. A 9-year-old boy presented with precocious puberty. His medical history was notable for ventricular septal defect. Physical examination showed Tanner stage P3 G2, a growth rate of 10 cm/year, and bone age of 12.5 years. A GnRH test confirmed CPP. Pituitary function was otherwise normal. MRI revealed ectopic pituitary duplication with two separate stalks, two ectopic posterior pituitary, tuberomammillary fusion, and vascular anomalies involving the basilar artery and vertebral vessels. The patient was treated with GnRH agonist therapy, which normalized growth and slowed bone maturation. Whole exome sequencing did not identify any pathogenic variants. This is the first reported case of CPP in a male with pituitary duplication. The findings highlight the need for awareness of endocrine dysfunction, including CPP, in patients with pituitary malformations. The gender disparity of CPP in pituitary duplication remains unexplained, and further research into genetic and molecular mechanisms, notably Sonic Hedgehog signaling, is required to understand this association.

#5

Automated bone age assessment in rare pediatric growth disorders: a comparative study using Deeplasia.

Frontiers in endocrinology2026

Bone age (BA) assessment is essential for monitoring growth and maturation and guiding therapeutic interventions. While deep learning (DL) models offer high-speed automated BA prediction, their generalizability to rare pathological and diagnostically complex populations remains a significant concern. This study aims to validate the open-source DL system Deeplasia on external data from pediatric patients with various syndromic, endocrine, and lysosomal storage disorders (LSDs) and to compare its accuracy and consistency against multiple expert human raters. We retrospectively assembled 1,138 hand radiographs from multiple centers, including patients with SHOX deficiency; Noonan syndrome; Silver-Russell syndrome; Ullrich-Turner syndrome; pseudohypoparathyroidism; congenital adrenal hyperplasia (CAH); precocious puberty and precocious pseudopuberty (cohort 1); mucopolysaccharidosis types I, II, III, IV, and VI; alpha-mannosidosis; and unclassified LSDs (cohort 2). For each radiograph, BA was evaluated using the Greulich and Pyle method by two to five human experts to obtain a mean BA reference. Model performance was assessed using the mean absolute error (MAE), root mean squared error (RMSE), and 1-year accuracy for each cohort and underlying conditions, sex, and age groups. Furthermore, Deeplasia's performance was compared with that of individual raters by testing each rater and the model against the remaining experts. Deeplasia achieved a mean MAE of 5.95 months, an RMSE of 8.01 months, and a 1-year accuracy of 89.9% for cohort 1 (endocrine and syndromic conditions). For cohort 2 (lysosomal storage disorders), Deeplasia achieved a mean MAE of 7.13 months, an RMSE of 9.56 months, and a 1-year accuracy of 81.2%. In direct comparisons between Deeplasia and individual raters tested against the remaining experts, Deeplasia outperformed all human raters. Deeplasia was validated as a highly consistent, robust, and reliable tool for BA assessment in complex cases. It demonstrated superior accuracy compared with individual human raters and may assist clinicians in BA evaluation.

Publicações recentes

Ver todas no PubMed

📚 EuropePMCmostrando 198

2026

Isolated Premature Menarche in a 17-Month-Old: A Case Report.

The American journal of case reports
2026

Genotype-phenotype correlation and challenges in mutation detection in McCune-Albright syndrome: a retrospective study of a French cohort.

Annales d'endocrinologie
2026

A Review of Pituitary Duplication and First Report of Associated Precocious Puberty in a Boy.

Hormone research in paediatrics
2026

Central Precocious Puberty and Optic Pathway Glioma in Children with Neurofibromatosis 1: Associations with Tumor Location, Vision, and Treatment.

The Journal of pediatrics
2026

Automated bone age assessment in rare pediatric growth disorders: a comparative study using Deeplasia.

Frontiers in endocrinology
2026

Rare Combination of PKD and precocious puberty in a HNF1B mutated little girl.

Urology case reports
2026

Three cases of pediatric adrenocortical carcinoma with intermediate malignant potential: a case report with literature review.

AME case reports
2026

McCune-Albright Syndrome: A Case Series.

Cureus
2026

Sex Cord-Stromal Tumours in Children: A Case Series.

Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
2025

Isolated Menarche and Empty Sella Turca: A Rare Pediatric Case.

Cureus
2025

Case Report: Van Wyk-Grumbach syndrome presenting as vaginal bleeding: diagnostic value of pituitary and pelvic imaging.

Frontiers in pediatrics
2026

De novo GNAS-Gsα variant (p.Thr55Ala) with constitutive gain-of-function effects on AVPR2 and PTH1R signalings.

Journal of human genetics
2026

McCune-Albright Syndrome as a Rare Cause of Fanconi Syndrome and Kidney Failure: A Case Report and Literature Review.

Kidney medicine
2026

Burosumab treatment for FGF23-related hypophosphatemia in a two-year-old girl with McCune-Albright syndrome.

Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology
2026

Case Reports: Exploring the Varied Presentations and Clinical Features of Carney Complex, A Detailed Report on Three Distinct Cases.

Journal of clinical research in pediatric endocrinology
2025

Schimmelpenning-Feuerstein-Mims syndrome: a systematic review of clinical cases to identify genotype-phenotype associations.

Frontiers in medicine
2026

The incidence of sellar abnormalities in newly diagnosed children with central precocious puberty: a single-center study based on 625 cases.

Journal of pediatric endocrinology & metabolism : JPEM
2026

Delayed Diagnosis of McCune-Albright Syndrome in Adulthood Revealed by Spinal Fibrous Dysplasia: Report of 2 Cases.

JCEM case reports
2025

Extended Thymectomy via Thoracoscopy and Cervical Incision in a Child with Anterior Mediastinal Mixed Germ Cell Tumor and Paraneoplastic Precocious Puberty.

Surgical case reports
2025

Management of ovarian granulosa cell tumor in childhood: a case report and recommendations for a multidisciplinary approach.

Frontiers in oncology
2025

Early Phenotypic Features of Beta-Propeller Protein-Associated Neurodegeneration: Insights from a Korean Series.

Journal of movement disorders
2025

Pediatric Adrenocortical Carcinoma Presenting With Virilization: A Case of a Low-Grade Tumor in a Young Child.

Cureus
2025

A retrospective analysis of spontaneous reports of suspected adverse drug reactions to triptorelin acetate in a tertiary pediatric medical center: still a lot of preventable harm.

BMC pediatrics
2025

The Mystery of Elevated β-hCG in GnRH-Independent Precocious Puberty without a Detectable Tumor: A Six-Year Diagnostic Odyssey.

Hormone research in paediatrics
2025

Van Wyk-Grumbach Syndrome With Insulin Resistance in Children: A Case Report.

Clinical case reports
2025

The GNAS Gene: Fibrous Dysplasia, McCune-Albright Syndrome, and Skeletal Structure and Function.

Genes
2026

Sterile Abscess Following Intramuscular Leuprolide Acetate Injection for Endometriosis: A Case Report.

Journal of pediatric and adolescent gynecology
2025

The Complex Spectrum of 11β-Hydroxylase Deficiency: A Case of Precocious Puberty, Hypertension, and Testicular Adrenal Rest Tumors (TARTs).

Cureus
2026

MECP2 Rare Variants in Boys With Central Precocious Puberty.

The Journal of clinical endocrinology and metabolism
2025

Carney Complex During Six-Year Follow-Up and Its Association With Attention-Deficit Hyperactivity Disorder: A Case Report.

Cureus
2025

Clinical Description of Ten Pediatric Patients with Clinical Signs of ROHHAD-NET Syndrome and Review of the Literature.

Hormone research in paediatrics
2025

Growth and pubertal outcome of three-years medical treatment of peripheral precocious puberty in a boy with McCune-Albright Syndrome: a case report.

BMC pediatrics
2025

Van Wyk-Grumbach syndrome: a case report and review of the literature.

Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology
2026

Bridging the Gap between Hypothyroidism and Precocious Puberty: A Case Report of Van Wyk Grumbach Syndrome.

Journal of pediatric and adolescent gynecology
2025

McCune-Albright syndrome with multiple hyperfunctional endocrinopathies: diagnosis, treatment, and long-term follow-up: a case report.

Frontiers in endocrinology
2025

Severe, prolonged primary hypothyroidism causing ovarian hyperstimulation: an adult presentation (Van Wyk-Grumbach syndrome).

BMJ case reports
2025

Genetic, neuropeptidergic, and cardiometabolic interplay in female central precocious puberty.

Cardiovascular endocrinology & metabolism
2025

Precocious puberty in a rural Guatemalan boy: Unraveling the role of malnutrition and psychosocial stress.

Oxford medical case reports
2025

Early Manifestation of McCune-Albright Syndrome in a 32-Month-Old Female: A Rare Case Report.

Journal of investigative medicine high impact case reports
2025

Burosumab treatment for fibroblast growth factor-23-associated hypophosphatemia in an adult patient with severe fibrous dysplasia in McCune-Albright syndrome: case report and review of the literature.

JBMR plus
2025

Hormone-active ovarian steroid cell tumor in a 2-year-old girl.

Journal of pediatric endocrinology & metabolism : JPEM
2025

Ovarian serous cystadenoma mimicking polycystic ovarian morphology in prepubertal girl: a case report and literature review.

Ginekologia polska
2025

Imaging Characteristics of Hypothalamic Hamartomas in an Australian Paediatric Population.

Journal of medical imaging and radiation oncology
2026

Assessing Pubertal Timing, Duration, and Related Characteristics in ASXL-Related Disorders: A Cross-Sectional Caregiver Survey Analysis.

American journal of medical genetics. Part A
2025

New patients with duplication of the pituitary gland-plus syndrome, including a PTCH2 variant and a literature review.

Journal of medical genetics
2025

Van Maldergem syndrome-1 in a patient with central precocious puberty: A case report.

Medicine
2025

Thyroid Scan Conundrum in a Rare Case of McCune-Albright Syndrome.

Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
2025

[Precocious puberty in the McCune-Albright Syndrome: a case report].

The Pan African medical journal
2025

Report of a rare case of childhood adrenocortical carcinoma and literature review.

Urology case reports
2025

Uterine Venous Malformation as a Rare Cause of Prepubertal Vaginal Bleeding.

Pediatrics
2025

Central Precocious Puberty and Psychiatric Disorders.

JAMA network open
2025

Unilateral pubic hair growth: a paracrine finding indicative of underlying leydig cell tumor in a prepubertal boy.

Urology case reports
2025

Juvenile Fibroadenoma in a Prepubertal Girl With Idiopathic Precocious Puberty: A Case Report Challenging Hormonal Paradigms.

Cureus
2025

Comparison of the clinical characteristics of children with Silver-Russell syndrome genetically confirmed or not and their response to growth hormone therapy: a national multicenter study.

Journal of pediatric endocrinology & metabolism : JPEM
2025

Peripheral precocious puberty in girls with McCune-Albright syndrome: a case series.

Archives of endocrinology and metabolism
2025

Burosumab treatment of a child with McCune-Albright syndrome/polyostotic fibrous dysplasia: challenges and benefits.

JBMR plus
2025

Epidemiology of disorders associated with tall stature in childhood: A 20-year birth cohort study.

PloS one
2025

Precocious puberty in male with hypertension and hypokalemia; a definite diagnostic clue for 11β hydroxylase deficiency CAH.

Endocrinology, diabetes & metabolism case reports
2025

Turner Syndrome With Central Precocious Puberty During Growth Hormone Therapy: Combined Treatment With a Gonadotropin-Releasing Hormone Analog.

Cureus
2025

A de novo ZMYM2 gene variant associated to a Rett-like phenotype: Case report of a new phenotype and review of the literature.

Brain & development
2024

Van Wyk-Grumbach syndrome and its clinical heterogeneity: A case report.

Bioinformation
2025

Case Report: A case of progressive encephalopathy with or without lipodystrophy caused by BSCL2 variant and literature review.

Frontiers in genetics
2025

Clinical spectrum and uncommon features of McCune-Albright syndrome in children: a cohort study from a National Referral Center.

Frontiers in endocrinology
2025

Shared Pathophysiological Mechanisms and Genetic Factors in Early Menarche and Polycystic Ovary Syndrome.

The Journal of neuroscience : the official journal of the Society for Neuroscience
2025

The clinical characteristics of 10 cases and adult height of six cases of rare familial male-limited precocious puberty.

Journal of pediatric endocrinology & metabolism : JPEM
2025

An Unusual Presentation of Costello Syndrome in a Boy with Precocious Puberty and Chiari I Malformation: A Case Report.

Cureus
2025

Nongestational Ovarian Choriocarcinoma with Precocious Puberty in a 7-Year-Old Girl: A Rare Case Report.

Journal of pediatric and adolescent gynecology
2025

Co-Occurrence of Sotos Syndrome and Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome in 2 Patients.

JCEM case reports
2025

A Case of McCune Albright Syndrome With Rare Extensive Polyostotic Fibrous Dysplasia.

Clinical nuclear medicine
2025

Clinical utility of ultrasonography in pediatric and adolescent gynecology: retrospective review of 1313 ultrasound examinations.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
2025

Van Wyk-Grumbach Syndrome with bilateral inguinal hernia: A case report.

International journal of surgery case reports
2024

A Rare Case of Juvenile Granulosa Cell Tumor in a Premenarchal Female: Clinical Presentation, Diagnosis, and Management.

Cureus
2025

Nationwide carrier screening for congenital adrenal hyperplasia: integrated approach of CYP21A2 pathogenic variant genotyping and comprehensive large gene deletion analysis.

BMC medical genomics
2025

Genetics and Epigenetics of Human Pubertal Timing: The Contribution of Genes Associated With Central Precocious Puberty.

Journal of the Endocrine Society
2024

Precocious Puberty as a Unique Presentation of Hepatoblastoma in a Pediatric Patient: A Case Report.

Cureus
2025

Central precocious puberty in a toddler with hypothalamic hamartoma.

Journal of pediatric endocrinology & metabolism : JPEM
2024

Genetic Investigation of Regulatory Regions of MKRN3 and DLK1 Genes in Children with Central Precocious Puberty.

Hormone research in paediatrics
2025

Temple Syndrome: Comprehensive Clinical Study in Genetically Confirmed 60 Japanese Patients.

The Journal of clinical endocrinology and metabolism
2025

Concomitant Upd(14)mat and Trisomy 14 Mosaicism in a Newborn Detected by Whole Genome Sequencing.

Clinical genetics
2024

Long term effects of aromatase inhibitor treatment in patients with aromatase excess syndrome.

Frontiers in endocrinology
2024

Endocrine disorders in Rett syndrome: a systematic review of the literature.

Frontiers in endocrinology
2025

Peripheral precocious puberty secondary to severe hypothyroidism.

Archivos argentinos de pediatria
2024

A rare case of central precocious puberty in a male infant with adrenal hypoplasia congenita.

Journal of pediatric endocrinology & metabolism : JPEM
2026

The Role of DLK1 Deficiency in Central Precocious Puberty and Association with Metabolic Dysregulation.

Hormone research in paediatrics
2025

Revising LH cut-off for the diagnosis of central precocious puberty via triptorelin stimulation assay.

Endocrine
2024

Clinical and Hormonal Profile of Classical 21-Hydroxylase Deficiency Congenital Adrenal Hyperplasia: Experience from a Tertiary Centre In India.

Indian journal of endocrinology and metabolism
2024

Mediastinal Tumor in a Boy With GnRH-Independent Precocious Puberty and Fluctuating β-HCG Levels.

JCEM case reports
2024

Case report: Epilepsy during the use of recombinant human growth hormone: a report on two cases and a literature review.

Frontiers in pharmacology
2024

Behavioral Changes in a Pediatric Patient With Sotos Syndrome: A Case Emphasizing the Importance of Coordinated Care.

Cureus
2024

Clinical Findings in a Series of Thirty Eight Patients with Williams-Beuren Syndrome.

Cytogenetic and genome research
2025

"Management of andrological disorders from childhood and adolescence to transition age: guidelines from the Italian Society of Andrology and Sexual Medicine (SIAMS) in collaboration with the Italian Society for Pediatric Endocrinology and Diabetology (SIEDP)-Part-1".

Journal of endocrinological investigation
2024

Central precocious puberty should be taken seriously in children with Leydig cell tumors of the testis after surgical treatment: a tertiary center experience.

Asian journal of andrology
2024

A Rare Ovarian Mixed Sex Cord Stromal Tumor in a Patient with Ollier Disease: A Case Report.

Journal of pediatric and adolescent gynecology
2024

Safety and Efficacy of Cinacalcet in Children Aged Under 3 Years on Maintenance Dialysis.

Kidney international reports
2024

Primary central nervous system germ cell tumors in Central America and the Caribbean Region: an AHOPCA 20-year experience.

Frontiers in oncology
2024

Precocious puberty and other endocrine disorders during mitotane treatment for paediatric adrenocortical carcinoma - case series and literature review.

Pediatric endocrinology, diabetes, and metabolism
2024

Understanding the genetic complexity of puberty timing across the allele frequency spectrum.

Nature genetics
2024

Fibrous dysplasia: A tale of two syndromes.

SA journal of radiology
2024

Biallelic loss-of-function variants of EZH1 cause a novel developmental disorder with central precocious puberty.

American journal of medical genetics. Part A
2024

A pediatric case of two Nicolau syndrome lesions following leuprolide injection in the upper extremity.

Indian journal of pharmacology
2024

Novel 14q32.2 paternal deletion encompassing the whole DLK1 gene associated with Temple syndrome.

Clinical epigenetics
2024

Case report: Development of central precocious puberty in a girl with late-diagnosed simple virilizing congenital adrenal hyperplasia complicated with Williams syndrome.

Frontiers in endocrinology
2024

Isolated Vaginal Bleeding Before the Onset of Puberty.

Endocrinology and metabolism clinics of North America
2024

Females with Breast Development before Three Years of Age.

Endocrinology and metabolism clinics of North America
2024

Central precocious puberty secondary to postoperative craniopharyngioma: two case reports and a literature review.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2025

Diagnostic Conundrum of a Sertoli Cell Tumor in a 2-Year-Old Girl with Peripheral Precocious Puberty and a Café-au-Lait Macule: A Case Report.

Hormone research in paediatrics
2024

Dual rare genetic diseases in five pediatric patients: insights from next-generation diagnostic methods.

Orphanet journal of rare diseases
2024

Central precocious puberty in a boy with X-linked adrenoleukodystrophy caused by a novel ABCD1 mutation.

Heliyon
2024

Multimodal Approach for the Treatment of Complex Hypothalamic Hamartomas.

Advances and technical standards in neurosurgery
2024

Heterozygous gain of function variant in GUCY1A2 may cause autonomous ovarian hyperfunction.

European journal of endocrinology
2024

Vaginal bleeding imitated rape in a 6-year old girl, a case report about granulosa cell tumor as a reason of peripheral precocious puberty.

International journal of surgery case reports
2024

Infantile Hypothalamic Hamartoma: A Rare Presentation of Isolated Obesity.

JCEM case reports
2024

Familial male-limited precocious puberty due to an activating mutation of the LHCGR: a case report and literature review.

Annals of pediatric endocrinology & metabolism
2024

Non-classical 11β-hydroxylase deficiency caused by a novel heterozygous mutation: a case report and review of the literature.

Endocrine
2024

[Research progress on the pathogenic mechanisms, diagnosis and treatment of McCune-Albright syndrome].

Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine]
2024

Giant supra and retrosellar glioependymal cyst presenting with only precocious puberty. Clinical study and review of the literature.

International journal of surgery case reports
2024

Congenital Adrenal Hyperplasia.

Pediatrics in review
2024

Oncological and endocrinological outcomes for children and adolescents with testicular and ovarian sex cord-stromal tumors. Results of the TGM13 National Registry.

Pediatric blood & cancer
2024

Choosing the Best Tissue and Technique to Detect Mosaicism in Fibrous Dysplasia/McCune-Albright Syndrome (FD/MAS).

Genes
2026

Floating-Harbor Syndrome in a Korean Patient with Short Stature and Early Puberty: A Case Report.

Journal of clinical research in pediatric endocrinology
2024

Artificial intelligence in paediatric endocrinology: conflict or cooperation.

Journal of pediatric endocrinology & metabolism : JPEM
2024

[Adrenal cortical carcinoma in children: a clinicopathological analysis of 25 cases].

Zhonghua bing li xue za zhi = Chinese journal of pathology
2023

[McCune-Albright syndrome: a case report and literature review].

The Pan African medical journal
2024

MKRN3 circulating levels in girls with central precocious puberty caused by MKRN3 gene mutations.

Journal of endocrinological investigation
2023

Case Report: Adrenocortical carcinoma in children-symptoms, diagnosis, and treatment.

Frontiers in endocrinology
2023

Health supervision for children and adolescents with 16p11.2 deletion syndrome.

Cold Spring Harbor molecular case studies
2024

Van Wyk-Grumbach syndrome: The importance of thyroid function tests in a child presenting with multicystic ovaries.

International journal of surgery case reports
2025

Successful Use of Metyrapone Suppositories in an Infant with Neonatal Cushing and McCune Albright Syndrome: A Case Report.

Hormone research in paediatrics
2023

A Rare Case of Precocious Puberty Secondary to an LH-secreting Pituitary Adenoma.

JCEM case reports
2023

Intracranial germ cell tumors: a view of the endocrinologist.

Journal of pediatric endocrinology & metabolism : JPEM
2023

Pineal cysts in children: a paediatric series treated over the last twenty years in Lyon.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2023

Central precocious puberty secondary to peripheral precocious puberty due to a pineal germ cell tumor: a case and review of literature.

BMC endocrine disorders
2023

[The enigma of Henry IV's disease: Did he suffer from McCune-Albright syndrome/fibrous dysplasia?].

Revista espanola de patologia : publicacion oficial de la Sociedad Espanola de Anatomia Patologica y de la Sociedad Espanola de Citologia
2023

Brain magnetic resonance imaging (MRI) findings in central precocious puberty patients: is routine MRI necessary for newly diagnosed patients?

Annals of pediatric endocrinology & metabolism
2023

Familial central precocious puberty due to DLK1 deficiency: novel genetic findings and relevance of serum DLK1 levels.

European journal of endocrinology
2023

A Rare Case of Precocious Puberty in a Child with a Novel GATA-4 Gene Mutation: Implications for Disorders of Sex Development (DSD) and Review of the Literature.

Genes
2023

Hepatic adenoma in a 7-year-old girl: a case report and literature review.

BMC pediatrics
2023

Case Report: Severe McCune-Albright syndrome presenting with neonatal Cushing syndrome: navigating through clinical obstacles.

Frontiers in endocrinology
2023

Secondary Amenorrhea Revealing a Giant Hamartoma of the Tuber Cinereum.

Cureus
2023

Advances in hypothalamic hamartoma research over the past 30 years (1992-2021): a bibliometric analysis.

Frontiers in neurology
2023

Auxological and endocrine findings in narcolepsy type 1: seventeen-year follow-up from a pediatric endocrinology center.

Frontiers in endocrinology
2023

Rare variants in the MECP2 gene in girls with central precocious puberty: a translational cohort study.

The lancet. Diabetes & endocrinology
2023

Syndrome of inappropriate secretion of anti-diuretic hormone due to hypothalamic hamartoma: use of tolvaptan.

Journal of pediatric endocrinology & metabolism : JPEM
2023

The Clinical Septet of Van Wyk-Grumbach Syndrome: A Case Series from a Tertiary Care Centre in Kalyana Karnataka, India.

TouchREVIEWS in endocrinology
2023

Mayer-Rokitansky-Küster-Hauser syndrome with idiopathic central precocious puberty: a case report.

Translational pediatrics
2023

Brain and eye involvement in McCune-Albright Syndrome: clinical and translational insights.

Frontiers in endocrinology
2023

Comprehensive analysis of untargeted metabolomics and lipidomics in girls with central precocious puberty.

Frontiers in pediatrics
2023

Central precocious puberty in Prader-Willi syndrome: a narrative review.

Frontiers in endocrinology
2023

McCune-Albright Syndrome: A Case Report and Review of Literature.

International journal of molecular sciences
2023

Peripheral precocious puberty in Li-Fraumeni syndrome: a case report and literature review of pure androgen-secreting adrenocortical tumors.

Journal of medical case reports
2023

Genetic variants of G-protein coupled receptors associated with pubertal disorders.

Reproductive medicine and biology
2023

Imaging in Van Wyk Grumbach syndrome: An uncommon presentation of hypothyroidism.

SA journal of radiology
2023

Adrenocortical tumors in children: Sri Lankan experience from a single center, and a mini review.

Journal of medical case reports
2023

The Effects of 5 Years of Growth Hormone Treatment on Growth and Body Composition in Patients with Temple Syndrome.

Hormone research in paediatrics
2023

Repeated recurrence of bilateral gigantomastia after subcutaneous mastectomy caused by tumoral pseudoangiomatous stromal hyperplasia: a case report and review of literature.

BJR case reports
2023

[Sex cord tumors with annular tubules: About 4 cases and literature review].

Annales de pathologie
2023

Virilization at Puberty: A Rare Cause.

Clinical pediatrics
2023

Pharmacological Interventions Targeting Pain in Fibrous Dysplasia/McCune-Albright Syndrome.

International journal of molecular sciences
2024

Long-term Follow-up of a Late Diagnosed Patient with Temple Syndrome.

Journal of clinical research in pediatric endocrinology
2023

Brief report: Areolar melanosis in a girl with precocious puberty.

Pediatric dermatology
2023

A 12-Year-Old Girl with Juvenile Granulosa Cell Tumor of the Ovary, Presenting with Adolescent Hyperprolactinemia, Galactorrhea, and Amenorrhea.

The American journal of case reports
2022

Precocious puberty in a child: A rare cause and review of literature.

Journal of family medicine and primary care
2023

Clinical and Genetic Characterization of Familial Central Precocious Puberty.

The Journal of clinical endocrinology and metabolism
2023

Sexual precocity in the setting of parental use of a compounded testosterone cream: case report and review of the literature.

Journal of pediatric endocrinology & metabolism : JPEM
2023

A new DLK1 defect in a family with idiopathic central precocious puberty: elucidation of the male phenotype.

Journal of endocrinological investigation
2022

Gonadal Y-chromosome mosaicism with 45, X Turner syndrome complicated with bilateral HCG-secreting gonadoblastoma.

Frontiers in pediatrics
2023

Pathologic acne in pre-pubertal children: A case series and review on when to refer to pediatric endocrinology.

Pediatric dermatology
2022

Associations between body mass index and pubertal development based on the outcomes of girls with early breast development.

Frontiers in endocrinology
2023

Human chorionic gonadotrophin secreting adrenocortical neoplasm presenting with peripheral precocious puberty in an infant.

Journal of pediatric endocrinology & metabolism : JPEM
2022

Ovarian steroid cell tumors, not otherwise specified: analysis of nine cases with a literature review.

BMC endocrine disorders
2022

Otalgia revealing McCune-Albright syndrome: A case report.

Annals of medicine and surgery (2012)
2022

Current Situation and Demand for Continuing Medical Education (CME) for Obstetricians and Gynecologists.

Journal of multidisciplinary healthcare
2023

Precocious puberty and anal stenosis in an African patient with Rothmund-Thomson syndrome.

American journal of medical genetics. Part A
2022

Precocious Puberty in a Boy With Bilateral Leydig Cell Tumors due to a Somatic Gain-of-Function LHCGR Variant.

Journal of the Endocrine Society
2022

Precocious puberty in narcolepsy type 1: Orexin loss and/or neuroinflammation, which is to blame?

Sleep medicine reviews
2022

Van Wyk-Grumbach syndrome: a rare presentation of a common endocrine disorder.

Endokrynologia Polska
2022

Updating the Landscape for Functioning Gonadotroph Tumors.

Medicina (Kaunas, Lithuania)
2022

Rapidly Progressive Precocious Puberty With an Elevated Testosterone Level in a 5-Year-Old Boy With a β-Human Chorionic Gonadotropin-Secreting Intracranial Germ Cell Tumor in the Pineal Gland.

AACE clinical case reports
2022

[Stereotactic radiosurgery for epilepsy related to hypothalamic hamartoma].

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
2022

Exaggerated mini-puberty in a preterm girl: a case report and review of literature.

Journal of pediatric endocrinology & metabolism : JPEM
2022

Genetic causes of central precocious puberty.

Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology
2022

MKRN3 circulating levels in Prader-Willi syndrome: a pilot study.

Journal of endocrinological investigation
2022

Ovarian cell tumor in a child with neurofibromatosis type 1.

Annals of African medicine
2023

Central precocious puberty with hypothalamic hamartoma: the first case reports of 2 siblings with different phenotypes of Seckel syndrome 5.

Annals of pediatric endocrinology & metabolism
2022

Pituitary Stalk Thickening: Causes and Consequences. The Children's Memorial Health Institute Experience and Literature Review.

Frontiers in endocrinology
2022

Pleomorphism of the HPG axis with NR0B1 gene mutation - a case report of longitudinal follow-up of a proband with central precocious puberty.

Journal of pediatric endocrinology & metabolism : JPEM
2022

Transformation of Peripheral Sexual Precocity to Central Sexual Precocity Following Treatment of Granulosa Cell Tumor of the Ovary.

Cureus
2023

Neuroimaging in 205 consecutive Children Diagnosed with Central Precocious Puberty in Denmark.

Pediatric research
2021

Evaluation of Hypersensitivity Reactions with Leuprolide Acetate and Triptorelin Acetate in Children.

Indian journal of endocrinology and metabolism
2022

Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) and Precocious Puberty With a Third Ventricle Arachnoid Cyst.

Cureus
2022

Treatment of congenital adrenal hyperplasia and Klinefelter Syndrome with central precocious puberty: a case report.

Translational pediatrics
2022

Feminizing adrenocortical oncocytoma presenting as precocious puberty: a case report and literature review.

Journal of pediatric endocrinology & metabolism : JPEM
2022

Adrenal Hypoplasia Congenita-Hypogonadotropic Hypogonadism Syndrome Due to NR0B1 Gene Mutations.

Indian journal of pediatrics
2022

Adrenocortical adenoma manifesting as Cushing's syndrome and pseudo-precocious puberty in a toddler.

Pediatric endocrinology, diabetes, and metabolism
2022

Ovarian steroid cell tumor causing isosexual pseudoprecocious puberty in a young girl: an instructive case and literature review.

BMC endocrine disorders
2022

Leydig Cell Tumor-Induced Gonadotropin-Independent Precocious Puberty Progressing to Gonadotropin-Dependent Precocious Puberty Post Orchiectomy: Out of the Frying Pan Into the Fire.

Cureus
2022

Giant cystic hypothalamic hamartoma in an infant associated with persistent syndrome of inappropriate antidiuretic hormone secretion.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2022

Adrenocortical carcinoma and a sporadic MEN1 mutation in a 3-year-old girl: a case report.

Annals of pediatric endocrinology & metabolism

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Central Precocious Puberty and Optic Pathway Glioma in Children with Neurofibromatosis 1: Associations with Tumor Location, Vision, and Treatment.
    The Journal of pediatrics· 2026· PMID 41780670mais citado
  2. Isolated Premature Menarche in a 17-Month-Old: A Case Report.
    The American journal of case reports· 2026· PMID 41871008mais citado
  3. Genotype-phenotype correlation and challenges in mutation detection in McCune-Albright syndrome: a retrospective study of a French cohort.
    Annales d'endocrinologie· 2026· PMID 41864326mais citado
  4. A Review of Pituitary Duplication and First Report of Associated Precocious Puberty in a Boy.
    Hormone research in paediatrics· 2026· PMID 41861056mais citado
  5. Automated bone age assessment in rare pediatric growth disorders: a comparative study using Deeplasia.
    Frontiers in endocrinology· 2026· PMID 41727682mais citado
  6. Mast cell mediators in hereditary angioedema.
    Orphanet J Rare Dis· 2026· PMID 41832580recente
  7. Prenatal Molecular Diagnosis of COL2A1-Associated Stickler Syndrome: Genotype-Phenotype Correlation in a Resource-Limited Healthcare Setting.
    Int J Mol Sci· 2026· PMID 41828453recente
  8. Platelet gene signatures detecting pulmonary artery stenosis in patients with pulmonary hypertension.
    Orphanet J Rare Dis· 2026· PMID 41827036recente
  9. The global impact of imiglucerase therapy in children with Gaucher disease types 1 and 3: a real-world analysis from the International Collaborative Gaucher Group Gaucher Registry.
    Orphanet J Rare Dis· 2026· PMID 41821052recente
  10. Monogenic lupus with SLC7A7 mutations: a retrospective study from a Chinese center.
    Orphanet J Rare Dis· 2026· PMID 41821046recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:650063(Orphanet)
  2. MONDO:0019165(MONDO)
  3. Puberdade Precoce Central(PCDT · Ministério da Saúde)
  4. GARD:16546(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Artigo Wikipedia(Wikipedia)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

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