Clinical_Rounds_in_Endocrinology_Volume_II_-_Pediatric_Endocrinology
203 ab Fig. 6.16 (a) An 8-year-old girl with GDPP. (b) Sagittal CEMR shows a large retrocerebellar cystic lesion causing cerebel ...
204 How to treat a child with GDPP associated with an intracranial pathology? Neurosurgical intervention is the treatment of ch ...
205 How to decide whether bone age is significantly advanced over chronological age or not? In the above-said child, chronologi ...
206 and improve the final adult height. Therapeutic options for the medical manage- ment of GDPP include GnRH agonists, medroxyp ...
207 How to monitor a child with precocious puberty on GnRH agonist therapy? Children with GDPP receiving GnRH agonist should b ...
208 15 days, while the suppression of gonadal steroids to prepubertal levels occurs by 2–4 weeks in girls and 6 weeks in boys. ...
209 therapy, menses resumes within 1–1.5 years, and cycles become ovulatory in majority of girls 2 years after the onset of mens ...
210 in efficacy of these drugs. Other aromatase inhibitors like fadrozole and anas- trozole or selective estrogen receptor modul ...
© Springer India 2016 211 A. Bhansali et al., Clinical Rounds in Endocrinology, DOI 10.1007/978-81-322-2815-8_7 7 7 Delayed Pube ...
212 a c b Fig. 7.1 (a) A 19-year-old male presented with delayed puberty (b) testicular volume of 1 ml with stretched penile len ...
213 7.2 Stepwise Analysis The index case presented at the age of 19 years with delayed pubertal development. Delayed puberty in ...
214 treatment in a patient with IHH include induction and maintenance of secondary sexual characteristics and to improve the fer ...
215 7.3 Clinical Rounds What is delayed puberty? Delayed puberty is defined as lack of development of secondary sexual charac- ...
216 receptor GPR-54, which is present on GnRH neurons in the hypothalamus. Kisspeptin signaling is involved in initiation of pub ...
217 How does kisspeptin regulate the preovulatory LH surge? Kisspeptin is synthesized in both, arcuate nucleus (KNDy neurons) ...
218 What is the importance of mini-puberty? The physiological importance of mini-puberty is better described in boys. The post ...
219 What are the disorders associated with absence of mini-puberty? Mini-puberty is absent in children with congenital hypogon ...
220 The causes of functional hypogonadotropic hypogonadism include anorexia nervosa and chronic systemic illness like celiac dis ...
221 What are the acquired causes of hypogonadotropic hypogonadism? Any patient with adult-onset hypogonadotropic hypogonadism ...
222 What is Kallmann syndrome? Kallmann syndrome is characterized by the coexistence of anosmia/hyposmia in a patient with con ...
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