This PedsCases Note provides a one-page infographic on Precocious Puberty. This infographic provides an overview of precocious puberty, including its definition, clinical presentation, investigations, differential diagnosis, benign mimics, and management. It highlights the differences between central and peripheral precocious puberty, outlines key causes and diagnostic approaches, and summarizes appropriate treatment strategies based on the underlying etiology. It was created by Vithuyan Sugumar (Medical Student, Western University), with the help of Dr. Kristina Pabedinskas (Pediatric Endocrinologist, Western.

Click on the image below for the full-screen PDF handout.

References:

1. Bradley, S. H., Lawrence, N., Steele, C., & Mohamed, Z. (2020). Precocious puberty. Bmj, 368.

2. Carel, J. C., & Léger, J. (2008). Precocious puberty. New England Journal of Medicine, 358(22), 2366-2377.

3. Kota, A. S., Sharma, L., & Ejaz, S. (2023). Precocious puberty. In StatPearls [internet]. StatPearls publishing.

Images:

1. Komorniczak, Michal. (2009). Tanner scale – female [Image]. Wikimedia Commons. https://commons.wikimedia.org/wiki/File:Tanner_scale-female.svg

2. Komorniczak, Michal. (2009). Tanner scale – male [Image]. Wikimedia Commons. https://commons.wikimedia.org/wiki/File:Tanner_scale-male.svg

3. Laboratories Servier. (2016). Brain [Image]. Wikimedia Commons. https://commons.wikimedia.org/wiki/File:Nervous_system_-_Brain_10_--_Sma...

4. Servier Medical Art. (2012). Hypothalamic nuclei [Image]. Wikimedia Commons. https://commons.wikimedia.org/wiki/File:Servier_Medical_Art_Hypothalamus...

5. Laboratories Servier. (2016). Kidney with adrenal gland [Image]. Wikimedia Commons. https://commons.wikimedia.org/wiki/File:Glands_-_Kidney_with_adrenal_gla...

6. Laboratories Servier. (2016). Uterus [Image]. Wikimedia Commons. https://commons.wikimedia.org/wiki/File:Glands_-_Uterus_2_--_Smart-Servi...

7. Laboratories Servier. (2016). Testicle [Image]. Wikimedia Commons. https://commons.wikimedia.org/wiki/File:Glands_-_Testicle_1_--_Smart-Ser...