What are the manifestations of early puberty in boys?

Patient's question:

Recently, my son's condition seems a bit abnormal. He suddenly became much quieter, so I took him to the hospital for a detailed examination. The psychologist said he might be experiencing precocious puberty and advised me to pay more attention to him and comfort him. What are the signs of precocious puberty in boys?

Doctor's answer:

Males with precocious puberty primarily exhibit recurrent organic inflammation. This includes testicular and penile enlargement, which are changes in secondary sexual characteristics. Additionally, apart from many local changes such as recurrent appearance of pubic hair, deepening of the voice, and muscle development, symptoms similar to those in females include accelerated growth, accelerated bone maturation, and ultimately, a final height that is shorter than the target height. When accompanied by central nervous system inflammation, such as intracranial tumors, symptoms may include headaches, nausea, changes in vision, or other neurological symptoms and signs.

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