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Pseudo Precocious Puberty Caused By Block of 21-Hydroxylase of Late Manifestation

DOI : https://doi.org/10.36349/EASJMS.2020.v02i02.001
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Precocious puberty is defined as the onset of secondary sexual characteristics in children at an unusually early age; When puberty begins before age 9 in boys, it is considered precocious puberty. Congenital adrenal hyperplasia (CAH) refers to a group of inherited diseases, due mostly to a deficiency in 21 hydroxylase, an enzyme involved in steroid hormone synthesis. All forms of CAH are transmitted in autosomal recessive mode. Partial 21-hydroxylase deficiency is most often asymptomatic among male subjects, but may be associated with shorter stature, precocious pubarche and prepubertal gyncomastia. We report the case of a male child with isosexuel pseudo precocious puberty revealing late-onset congenital adrenal hyperplasia with partial 21 hydroxylase deficiency.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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