The clinical value of serum-related indexes in diferentiating simple premature thelarche from idiopathic central precocious puberty | [Pakistan Journal of Medical Sciences • 2024]

Author(s):

1. Hai-jing Cui: Department of Children’s Health, Children’s Hospital of Hebei Province, Shijiazhuang 050011, Hebei, P.R. China.

2. Peng Liu: Department of Medical Insurance, Children’s Hospital of Hebei Province, Shijiazhuang 050011, Hebei, P.R. China.

3. Xin-guang Liu: Department of Medical Laboratory, Children's Hospital of Hebei Province,Shijiazhuang 050011, Hebei,P.R. China

4. Wen-zhong Du: Department of Quality Control, Children's Hospital of Hebei Province,Shijiazhuang 050011, Hebei,P.R. China

5. Xia Wang: Department of Children’s Health, Children’s Hospital of Hebei Province, Shijiazhuang 050011, Hebei, P.R. China.

Abstract:

Objective: To explore the changes of serum-related indexes at diferent time points, so as to identify the critical time of converting from simple premature thelarche (PT) to idiopathic central precocious puberty (ICPP). Methods: This is a retrospective study. The subjects of the study were 50 girls with PT who were admitted to the Children's Hospital of Hebei Province from January 2019 to September 2020. The enrolled 50 children were divided into the conversion group(n=12) and the non-conversion group(n=38) according to whether PT was converted into ICPP during follow-up. Furthermore, the levels of serum-related indexes and uterine and ovarian volumes were compared after the diagnosis of PT. Results: The IGF-1 and IGFBP-3 levels of children in the conversion group began to change significantly from six months after the diagnosis, with statistically significant diferences when compared with the levels of children at the initial diagnosis, three months and those of the non-conversion group at the same time points (p<0.05). The levels of vitamin-D, DHEA and leptin began to change significantly at nine months after the diagnosis (p< 0.05). Besides, uterine and ovarian volumes in the conversion group began to increase significantly six months after the diagnosis, with statistically significant diferences when compared with those in the non-conversion group ( p<0.05). Conclusion: Findings in our study suggest that regular monitoring of vitamin-D, IGF-1, IGFBP-3, DHEA and leptin levels, and uterine and ovarian volumes can predict the conversion from PT to ICPP at an early stage.

Page(s): 467-472

DOI: 10.12669/pjms.40.3.7447

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 40, Issue: 3, Year: 2024

Keywords:

Leptin , VitaminD , sex hormones , Leptin , Simple premature thelarche , Idiopathic central precocious puberty , Insulinlike growth factor

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