Khokhar Aditi, Mojica Angela
Pediatr Ann. 2018 Jan 1;47(1):e12-e15. doi: 10.3928/19382359-20171214-01.
Premature thelarche is a benign condition that affects young girls and may be interpreted as a sign of central precocious puberty (CPP). Parental concern is common when breast development is noted in a young girl. It is important to differentiate premature thelarche from CPP, as the latter is a more serious disorder that may affect final adult height and menarcheal age, and may have psychological implications as well. Distinguishing between the two conditions clinically may help the patients avoid unnecessary testing. Pediatricians can play a pivotal role by providing reassurance to families and helping alleviate parental anxiety. This article reviews the clinical presentation of premature thelarche, its usual course, and implications. [Pediatr Ann. 2018;47(1):e12-e15.].
乳房早发育是一种影响幼女的良性病症，可能被视为中枢性性早熟（CPP）的迹象。当注意到幼女出现乳房发育时，家长通常会感到担忧。将乳房早发育与CPP区分开来很重要，因为后者是一种更严重的病症，可能会影响最终成年身高和月经初潮年龄，还可能产生心理影响。临床上区分这两种病症有助于患者避免不必要的检查。儿科医生可以通过向家庭提供安慰并帮助减轻家长焦虑发挥关键作用。本文综述了乳房早发育的临床表现、通常病程及影响。[《儿科年鉴》。2018年；47(1):e12 - e15。]
