Premature Adrenarche - A Common Condition with Variable Presentation
| Autor: | Raimo Voutilainen, Pauliina Utriainen, Saila Laakso, Jarmo Jääskeläinen, Jani Liimatta |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class Endocrinology Diabetes and Metabolism Dehydroepiandrosterone Androgen Excess Pubarche Greasy hair Endocrinology Internal medicine Adrenal Glands medicine Humans Adrenarche Congenital adrenal hyperplasia business.industry Hyperandrogenism Androgen medicine.disease Pediatrics Perinatology and Child Health Female medicine.symptom business |
| Zdroj: | Hormone Research in Paediatrics. 83:221-231 |
| ISSN: | 1663-2826 1663-2818 |
| DOI: | 10.1159/000369458 |
| Popis: | Adrenarche refers to a maturational increase in the secretion of adrenal androgen precursors, mainly dehydroepiandrosterone (DHEA) and its sulfate (DHEAS). In premature adrenarche (PA), clinical signs of androgen action appear before the age of 8/9 years in girls/boys, concurrently with the circulating DHEA(S) concentrations above the usually low prepubertal level. The most pronounced sign of PA is the appearance of pubic/axillary hair, but also other signs of androgen effect (adult type body odor, acne/comedones, greasy hair, accelerated statural growth) are important to recognize. PA children are often overweight and taller than their peers, and the higher prevalence of PA in girls than in boys is probably explained by higher female adiposity and peripheral DHEA(S) conversion to active androgens. PA diagnosis requires exclusion of other causes of androgen excess: congenital adrenal hyperplasia, androgen-producing tumors, precocious puberty, and exogenous source of androgens. PA has been linked with unfavorable metabolic features including hyperinsulinism, dyslipidemia, and later-appearing ovarian hyperandrogenism. Although this common condition is usually benign, PA children with additional risk factors including obesity should be followed up, with the focus on weight and lifestyle. Long-term follow-up studies are warranted to clarify if the metabolic changes detected in PA children persist until adulthood. |
| Databáze: | OpenAIRE |
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