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Walvoord, md Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN ©2007HumanaPressInc. 999RiverviewDrive,Suite208 Totowa,NewJersey07512 www.humanapress.com Allrightsreserved.Nopartofthisbookmaybereproduced,storedinaretrievalsystem,ortransmittedinanyformorby anymeans,electronic,mechanical,photocopying,microfilming,recording,orotherwisewithoutwrittenpermissionfrom thePublisher. Thecontentandopinionsexpressedinthisbookarethesoleworkoftheauthorsandeditors,whohavewarranteddue diligenceinthecreationandissuanceoftheirwork.Thepublisher,editors,andauthorsarenotresponsibleforerrorsor omissionsorforanyconsequencesarisingfromtheinformationoropinionspresentedinthisbookandmakenowarranty, expressorimplied,withrespecttoitscontents. Duediligencehasbeentakenbythepublishers,editors,andauthorsofthisbooktoassuretheaccuracyoftheinformation published and to describe generally accepted practices. 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CoverdesignbyKarenSchulz Foradditionalcopies,pricingforbulkpurchases,and/orinformationaboutotherHumanatitles,contactHumanaatthe aboveaddressoratanyofthefollowingnumbers:Tel:973-256-1699;Fax:973-256-8341;E-mail:[email protected] orvisitourwebsiteathttp://humanapress.com PhotocopyAuthorizationPolicy: Authorizationtophotocopyitemsforinternalorpersonaluse,ortheinternalorpersonaluseofspecificclients,isgranted byHumanaPressInc.,providedthatthebasefeeofUS$30percopyispaiddirectlytotheCopyrightClearanceCenter at222RosewoodDrive,Danvers,MA01923.Forthoseorganizationsthathavebeengrantedaphotocopylicensefrom theCCC,aseparatesystemofpaymenthasbeenarrangedandisacceptabletoHumanaPressInc.Thefeecodeforusers oftheTransactionalReportingServiceis:[978-1-58829-742-6/07$30]. ISBN978-1-60327-042-7 (eBook) LibraryofCongressControlNumber:2007927137. iv Preface When puberty is precocious is a question in and of itself. The possibility that puberty is starting earlier in children of the 21st century has become a contentious topic during the past few years. It has received much attention in the medical literature as well as the lay press. As research methods and interpretation of data vary between the studies that have attemptedtoresolvethisissue,wearepleasedtopresentthereaderwiththreeverydifferent approaches to addressing the same question. We are thrilled to have experts in the field of basic science share the most up-to-date understanding of the mechanisms involved in the complicated interplay of factors that initiate puberty in different species. Also reviewed in the book are the many fascinating causes of precocity and new observations regarding the influence of the in utero environment and the affect of adoption from a developing country on pubertal timing. We have also included cutting edge discussions of endocrine disruptors, and the often overlooked psychosocial ramifications of precocious puberty. We believe that this book will be useful to primary care providers as well as specialists who deal with issues regarding abnormalities of puberty and reproduction. The topics covered in these chapters will provide the reader with a solid understanding of the diverse and fascinating causes of precocious puberty and different treatment options. We wish to thank all of our contributing authors for sharing their time and talent to create such an outstanding work. We dedicate this book to our families and to our mentors who have inspired us over the years. Ora H. Pescovitz, MD Emily C. Walvoord, MD v Contents Preface..................................................... v Contributors................................................ ix Part I: Neuroendocrine Control of Puberty 1 Control Puberty in Rodents: Special Focus on the Female Sabine Heger, MD and Sergio R. Ojeda, DVM.................. 3 2 Control of Puberty in Non-Human Primates Tony M. Plant, PhD......................................... 35 3 Control of Puberty in Humans Dennis M. Styne, MD and Melvin M. Grumbach, MD.......... 51 4 Genetic Regulation of the Variation in Pubertal Timing Craig A. Hodges, PhD and Mark R. Palmert, MD, PhD.......... 83 Part II: Secular Trends and the Onset of Puberty 5 Puberty Is Starting Earlier in the 21st Century Marcia E. Herman-Giddens, PA,DrPH........................ 105 6 BMI and the Onset of Puberty Paul Kaplowitz, MD, PhD.................................... 137 7 Puberty Timing Remains Unchanged Peter A. Lee, MD, PhD and Christopher P. Houk, MD .......... 151 Part III: Isolated Breast Development 8 Premature Thelarche Linda A. DiMeglio, MD, MPH and Adda Grimberg, MD........ 169 9 Gynecomastia: Epidemiology, Pathophysiology, and Management Samar N. Rahhal, MD and John S. Fuqua, MD................ 189 Part IV: Adrenal Abnormalities and Puberty 10 Premature Adrenarche: Harbingers and Consequences Alicia Belgorosky, MD, PhD, María Sonia Baquedano, PhD, Gabriela Guercio, MD and Marco A. Rivarola, MD.......... 217 vii viii Contents 11 Pubertal Consequences of Being Born Small for Gestational Age Dyanne A. Wilson, FRACP, Wayne S. Cutfield, FRACP and Paul L. Hofman, FRACP............................... 247 12 Congenital Adrenal Hyperplasia Lenore S. Levine, MD and Sharon E. Oberfield, MD, With editorial assistance of Lauren Antler, BA............... 267 13 Polycystic Ovary Syndrome in the Peripubertal Period Selma Feldman Witchel, MD................................. 285 14 Psychological and Social Problems in Children With Premature Adrenarche and Precocious Puberty Lorah D. Dorn, PhD......................................... 309 Part V: Gonadotropin-Dependent Precocious Puberty 15 Etiology of Gonadotropin-Dependent Precocious Puberty Erik A. Imel, MD and Kathleen E. Bethin, MD, PhD............ 331 16 TreatmentofGonadotropinDependent Precocious Puberty Zeina M. Nabhan, MD and Emily C. Walvoord, MD........... 345 Part VI: Gonadotropin-Independent Precocious Puberty 17 McCune–Albright Syndrome: Pathophysiology, Diagnosis, and Management Tamara S. Hannon, MD and Erica A. Eugster, MD ............ 365 18 Familial Male-Limited Precocious Puberty Nerissa C. Kreher, MD, MSc.................................. 383 19 Gonadal and Adrenal Tumors Inessa M. Gelfand, MD and Nadine G. Haddad, MD........... 403 Part VII: Environmental Effects on Puberty 20 The Role of Endocrine Disruptors in Pubertal Development Todd D. Nebesio, MD and Ora H. Pescovitz, MD.............. 425 21 Precocious Puberty in Internationally Adopted Girls Grete Teilmann, MD, Anne-Simone Parent, MD, Niels E. Skakkebæk, MD, PhD and Jean-Pierre Bourguignon, MD, PhD..................................... 443 Index...................................................... 461 Contributors María Sonia Baquedano, phd, Laboratorio de Investigación, Hospital de Pediatría Garrahan, Buenos Aires, Argentina Alicia Belgorosky, md, phd, Laboratorio de Investigación, Hospital de Pediatría Garrahan, Buenos Aires, Argentina Kathleen E. Bethin, md, phd, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Jean-Pierre Bourguignon, md, phd, Department of Pediatrics, University of Liège, Liège, Belgium Wayne S. Cutfield, fracp, Liggin’s Institute, University of Auckland, Auckland, New Zealand Linda A. DiMeglio, md, mph, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Lorah D. Dorn, phd, Division of Adolescent Medicine, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH Erica A. Eugster, md, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN John S. Fuqua, md, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Inessa M. Gelfand, md, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Adda Grimberg, md, Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA Melvin M. Grumbach, md, Department of Pediatrics, University of California at San Francisco, San Francisco, CA Gabriela Guercio, md, Laboratorio de Investigación, Hospital de Pediatría Garrahan, Buenos Aires, Argentina Nadine G. Haddad, md, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Tamara S. Hannon, md, Department of Pediatrics, Divisions of Endocrinology and Weight Management and Wellness, Children’s Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA Sabine Heger, md, Hospital for Children and Adolescents, University of Leipzig, Leipzig, Germany ix x Contributors Marcia E. Herman-Giddens, pa, drph, North Carolina Child Advocacy Institute, University of North Carolina School of Public Health, Pittsboro, NC Craig A. Hodges, phd, Department of Pediatrics, Case Western University School of Medicine, Cleveland, OH Paul L. Hofman, fracp, Liggin’s Institute, University of Auckland, Auckland, New Zealand Christopher P. Houk, md, Department of Pediatrics, Penn State College of Medicine, The Milton S. Hershey Medical Center, Hershey, PA Erik A. Imel, md, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Paul Kaplowitz, md, phd, Department of Endocrinology, Children’s National Medical Center, Washington, DC Nerissa C. Kreher, md, msc, Serono, Inc., Rockland, MA Peter A. Lee, md, phd, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Lenore S. Levine, md, Pediatric Endocrinology, Morgan Stanley Children’s Hospital of New York-Presbyterian, Columbia University Medical Center, New York, NY Zeina M. Nabhan, md, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Todd D. Nebesio, md, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Sharon E. Oberfield, md, Pediatric Endocrinology, Morgan Stanley Children’s Hospital of New York-Presbyterian, Columbia University Medical Center, New York, NY Sergio R. Ojeda, dvm, Division of Neuroscience, Oregon Regional Primate Research Center, Oregon Health & Science University, Beaverton, OR Mark R. Palmert, md, phd, Division of Pediatric Endocrinology and Metabolism, Rainbow Babies and Children’s Hospital, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH Anne-Simone Parent, md, Department of Pediatrics, University of Liège, Liège, Belgium Ora H. Pescovitz, md, Departments of Pediatrics and Cellular and Integrative Physiology, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN Tony M. Plant, phd, Departments of Cell Biology, Physiology, and Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA SamarN.Rahhal,md,SectionofPediatricEndocrinologyandDiabetology, DepartmentofPediatrics,RileyHospitalforChildren,IndianaUniversitySchool ofMedicine,Indianapolis,IN