Central precocious puberty in boys; diagnosis, treatment and follow-up: a nation-wide study

Odabasi Gunes, Sevinc; Sakar, Merve; Muratoglu Sahin, Nursel; Karaguzel, Gulay; Cimbek, Emine; Darendeliler, Feyza; Sarban, Ezgi; Doger, Esra; Oner, Ganimet; Siklar, Zeynep; Senyazar, Gizem; Aydin, Murat; Ozkan, Behzat; Sangun, Ozlem; PARLAK, MESUT; Akin, Onur; Sahin, Kadriye; Esen, İhsan; Kilinc Ugurlu, Aylin; Seymen, Gulcan; Bolu, Semih; Sobu, Elif; Ozalkak, Servan; Demet Akbas, Emine; Buyukyilmaz, Gonul; Selver Eklioglu, Beray; Ucar, Ahmet; Kocaay, Pinar; Tunc, Selma; Bas, Serpil; Dundar, İsmail; Celebi Bitkin, Eda; Torel Ergur, Ayca; Bingol Aydin, Dilek; Kirel, Birgul; Ata, Aysun; Atar, Muge; Isakoca, Mehmet; Aytac Kaplan, Emel; Kontbay, Tugba; Tepe, Derya; Ercan, Oya; Boyraz, Mehmet; Akyurek, Nesibe; Unal, Edip; Ozcan Murat, Nurhan; Koca, Serkan; Kocabey Sutcu, Zumrut; Oznur Muz, Feyza; Cetinkaya, Semra

doi:10.1007/s12020-025-04382-w

Central precocious puberty in boys; diagnosis, treatment and follow-up: a nation-wide study

Atıf İçin Kopyala

Odabasi Gunes S., Sakar M., Muratoglu Sahin N., Karaguzel G., Cimbek E. A., Darendeliler F., ...Daha Fazla

Endocrine, 2025 (SCI-Expanded)

Yayın Türü: Makale / Tam Makale
Basım Tarihi: 2025
Doi Numarası: 10.1007/s12020-025-04382-w
Dergi Adı: Endocrine
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts, Chemical Abstracts Core, EMBASE, MEDLINE, Veterinary Science Database
Anahtar Kelimeler: Boys, Central precocious puberty, Final height, Gonadotropin-releasing hormone analog treatment
Akdeniz Üniversitesi Adresli: Evet

Özet

Purpose: To evaluate demographic characteristics, clinical, laboratory, imaging features, and treatment responses of boys who were diagnosed and treated for central precocious puberty (CPP). Methods: The data were collected from pediatric endocrinology clinics in Türkiye. Patients were classified into two groups based on magnetic resonance imaging (MRI) findings, idiopathic CPP (iCPP) and organic CPP (oCPP). The oCPP group was further cathegorized into three subgroups: oCPP-confirmed, oCPP-unrelated, and oCPP-uncertain lesions. Results: Among 232 patients, 62.9% were diagnosed with iCPP. All patients aged <3 years had oCPP-confirmed lesions. Basal luteinizing hormone (LH) and total testosterone (T) levels were higher in oCPP group than in iCPP group (p = 0.004 and p = 0.02, respectively). Basal LH, basal follicle-stimulating hormone (FSH), T, and peak LH/FSH were lower in the iCPP-obese group (p < 0.05). T differed significantly among the oCPP-confirmed, oCPP-unrelated, and oCPP-uncertain subgroups (p = 0.032). Among patients that reached final height (FH), the difference between target height (TH) standard deviation score (SDS) and FH SDS was higher in oCPP group than in iCPP group (p < 0.05). A positive correlation was found between predicted adult height at the treatment initiation and FH (r = 0.463 p = 0.020). Factors affecting FH were height SDS at the beginning of treatment, paternal height SDS, and TH SDS. Conclusions: The prevelance of oCPP was found lower compared with previous literature data. Currently, there is no reliable marker to predict oCPP that would allow clinicians to safely omit MRI in iCPP cases. However, boys under 3 years of age should be carefully evaluated for potential organic causes of CPP.