Patient's question:
The child is 8 years and 3 months old, with a height of 129.1 cm and a weight of 25.2 kg. One month ago, the child experienced pain in the right breast with a hard lump. Two weeks ago, pain also appeared in the left breast. There is no pubic hair or leukorrhea in the external genitalia. The child was seen at Fuzhou Children's Hospital, where bone age was assessed as 9.7 years, with predicted height of 152 cm ± 5 cm. Sex hormone levels were LH 0.60, FSH 5.26. In the GnRH stimulation test, LH was 12.6 and FSH was 19.2 after 30 minutes. The doctors at the Children's Hospital diagnosed the child with precocious puberty, as the predicted height exceeds 150 cm and does not meet the criteria for short stature, recommending observation. The doctors at the Provincial Maternal and Child Health Hospital recommended immediate injection intervention treatment.Doctor's answer:
1. The diagnosis of "central precocious puberty" is currently confirmed.2. Based on the parents' height, the child's genetic height is approximately 158 cm. According to the current bone age, the future height may be around 154 cm. However, close monitoring is necessary. If the child's sexual development progresses rapidly, the future height may not reach 154 cm. If the sexual development progresses slowly, it may reach 154 cm.
3. Persisting in exercise will definitely help improve height.
4. Long-term and large-dose inhaled corticosteroids can affect height growth.