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TORONTA -- Premature adrenarche in girls, even in the absence of tumors, is no longer thought to be benign, said Dr. Kristi Muichahey said at the annual meeting of the North American Society for Pediatric and Adolescent Gynecology.
"It used to be thought that if there was no tumor causing the excess of androgens, the condition was nothing to worry about. But now there's some evidence that up to 40% of these girls could have non-classical adrenal hyperplasia and could also be at increased risk for developing polycystic ovarian syndrome later on," said Dr. Mulchahey, who is a pediatric and adolescent gynecologist in private practice in Atlanta.
Girls who develop pubic hair, body odor, and acne-- signs of androgen production--before age 7 or 8 years should be watched very carefully through ...