Download Abnormal Female Puberty: A Clinical Casebook by Heather L. Appelbaum PDF

By Heather L. Appelbaum

Comprised solely of medical circumstances masking irregular lady puberty and its scientific administration, this concise, useful casebook will offer clinicians in reproductive endocrinology, gynecology and pediatrics with the easiest real-world thoughts to correctly diagnose and deal with a number of the types of the situation they might stumble upon. every one bankruptcy is a case that opens with a distinct scientific presentation, through an outline of the analysis, evaluate and administration innovations used to regard it, in addition to the case final result and medical pearls and pitfalls. instances incorporated illustrate diversified reasons of irregular puberty in addition to administration ideas, together with congenital anomalies, endocrine issues, problems with constitutional hold up, weight problems, consuming problems, ovarian melanoma and the influence of pharmacology, between others. Pragmatic and reader-friendly, Abnormal woman Puberty: A scientific Casebook should be a good source for reproductive endocrinologists, gynecologists and pediatricians alike.

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In this case, the patient’s labs show elevated gonadotropins and estradiol levels, consistent with central, or gonadotropindependent, precocious puberty (GDPP). The most common cause of GDPP in females, in approximately 75 % of cases, is idiopathic [3, 7]. Out of identifiable causes, CNS/hypothalamic tumors are the most common etiology, making up 5–10 % of GDPP cases in female patients [15]. Hypothalamic hamartomas are congenital, non-neoplastic, heterotopic masses of neurons, glia, and fiber bundles that arise from the floor of the third ventricle, tuber cinereum, or mammillary bodies.

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