Factors to predict positive results of gonadotropin releasing hormone stimulation test in girls with suspected precocious puberty

Hyo-Kyoung Nam, Young-Jun Rhie, Chang Sung Son, Sang Hee Park, Kee Hyoung Lee

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Sometimes, the clinical findings and the results of the gonadotropin-releasing hormone (GnRH) stimulation test are inconsistent in girls with early breast development and bone age advancement. We aimed to investigate the factors predicting positive results of the GnRH stimulation test in girls with suspected central precocious puberty (CPP). We reviewed the records of 574 girls who developed breast budding before the age of 8 yr and underwent the GnRH stimulation test under the age of 9 yr. Positive results of the GnRH stimulated peak luteinizing hormone (LH) level were defined as 5 IU/L and over. Girls with the initial positive results (n = 375) showed accelerated growth, advanced bone age and higher serum basal LH, follicle-stimulating hormone, and estradiol levels, compared to those with the initial negative results (n = 199). Girls with the follow-up positive results (n = 64) showed accelerated growth and advanced bone age, compared to those with the follow-up negative results. In the binary logistic regression, the growth velocity ratio was the most significant predictive factor of positive results. We suggest that the rapid growth velocity is the most useful predictive factor for positive results in the GnRH stimulation test in girls with suspected precocious puberty.

Original languageEnglish
Pages (from-to)194-199
Number of pages6
JournalJournal of Korean Medical Science
Volume27
Issue number2
DOIs
Publication statusPublished - 2012 Feb 22

Fingerprint

Precocious Puberty
Gonadotropin-Releasing Hormone
Bone Development
Luteinizing Hormone
Breast
Follicle Stimulating Hormone
Growth
Estradiol
Logistic Models
Serum

Keywords

  • Gonadotropin-releasing hormone stimulation test
  • Growth velocity
  • Precocious puberty

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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abstract = "Sometimes, the clinical findings and the results of the gonadotropin-releasing hormone (GnRH) stimulation test are inconsistent in girls with early breast development and bone age advancement. We aimed to investigate the factors predicting positive results of the GnRH stimulation test in girls with suspected central precocious puberty (CPP). We reviewed the records of 574 girls who developed breast budding before the age of 8 yr and underwent the GnRH stimulation test under the age of 9 yr. Positive results of the GnRH stimulated peak luteinizing hormone (LH) level were defined as 5 IU/L and over. Girls with the initial positive results (n = 375) showed accelerated growth, advanced bone age and higher serum basal LH, follicle-stimulating hormone, and estradiol levels, compared to those with the initial negative results (n = 199). Girls with the follow-up positive results (n = 64) showed accelerated growth and advanced bone age, compared to those with the follow-up negative results. In the binary logistic regression, the growth velocity ratio was the most significant predictive factor of positive results. We suggest that the rapid growth velocity is the most useful predictive factor for positive results in the GnRH stimulation test in girls with suspected precocious puberty.",
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AU - Lee, Kee Hyoung

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