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婴儿期阴毛:内分泌病还是谜团?

Pubic hair of infancy: endocrinopathy or enigma?

作者信息

Nebesio Todd D, Eugster Erica A

机构信息

Department of Pediatrics, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana, USA.

出版信息

Pediatrics. 2006 Mar;117(3):951-4. doi: 10.1542/peds.2005-1227.

DOI:10.1542/peds.2005-1227
PMID:16510682
Abstract

Pubic hair of infancy is a rare condition that has not been well-characterized. A retrospective chart review of infants <12 months of age who presented to our pediatric endocrine clinics with isolated pubic hair over the last 5 years was performed. Eleven patients were identified (6 male and 5 female). The average age at diagnosis was 8.3 +/- 2.0 months. The majority of patients (73%) had pubic hair in an atypical location. Growth pattern, laboratory evaluation, and bone-age radiographs were unremarkable for all the infants. Of the infants that returned for follow-up, pubic hair resolved by the age of 11.0 +/- 1.5 months. From our experience and review of the literature, we suggest that isolated pubic hair of infancy is a benign entity. However, long-term follow-up needs to be done to determine if pubic hair of infancy is an atypical variant of premature adrenarche, which may place these patients at risk for later adult disease.

摘要

婴儿期出现阴毛是一种罕见的情况,目前尚未得到充分的特征描述。我们对过去5年到我们儿科内分泌门诊就诊的12个月以下、仅有阴毛的婴儿进行了回顾性病历审查。共确定了11名患者(6名男性和5名女性)。诊断时的平均年龄为8.3±2.0个月。大多数患者(73%)的阴毛分布在非典型部位。所有婴儿的生长模式、实验室检查和骨龄X光片均无异常。在接受随访的婴儿中,阴毛在11.0±1.5个月龄时消失。根据我们的经验和文献回顾,我们认为婴儿期孤立性阴毛是一种良性现象。然而,需要进行长期随访以确定婴儿期阴毛是否是早熟肾上腺功能初现的非典型变体,这可能使这些患者面临日后患成人疾病的风险。

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Pubic hair of infancy: endocrinopathy or enigma?婴儿期阴毛:内分泌病还是谜团?
Pediatrics. 2006 Mar;117(3):951-4. doi: 10.1542/peds.2005-1227.
2
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Premature adrenarche leads to polycystic ovary syndrome? Long-term consequences.早熟性肾上腺初现会导致多囊卵巢综合征?长期后果。
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引用本文的文献

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Premature pubarche during minipuberty - literature review and two case reports.青春期前阴毛早现——文献综述及两例病例报告。
Pediatr Endocrinol Diabetes Metab. 2023;29(2):112-117. doi: 10.5114/pedm.2023.129343.
3
Precocious Puberty.性早熟。
Indian J Pediatr. 2023 Jun;90(6):582-589. doi: 10.1007/s12098-023-04554-4. Epub 2023 Apr 19.
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Normal and Premature Adrenarche.正常和过早性肾上腺功能初现
Endocr Rev. 2021 Nov 16;42(6):783-814. doi: 10.1210/endrev/bnab009.
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Premature pubarche in an infant: nonclassical congenital adrenal hyperplasia or mini-puberty variant?婴儿期青春期早熟:非经典型先天性肾上腺皮质增生症还是小青春期变异型?
Clin Pediatr Endocrinol. 2017;26(3):193-195. doi: 10.1297/cpe.26.193. Epub 2017 Jul 27.
6
Premature pubarche before one year of age: distinguishing between mini-puberty variants and precocious puberty.1岁前青春期阴毛早现:区分小青春期变异型和性早熟。
Med Sci Monit. 2015 Apr 2;21:955-63. doi: 10.12659/MSM.893139.