Precocious puberty in McCune-Albright syndrome: a case report
https://doi.org/10.19106/JMedScie/0050032018014
Rianti Puji Lestari
(1*) , Retno Sutomo
(2) , Madarina Julia
(3)
(1) Department of Child Health, Faculty of Medicine/Dr. Sardjito General Hospital, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Child Health, Faculty of Medicine/Dr. Sardjito General Hospital, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Department of Child Health, Faculty of Medicine/Dr. Sardjito General Hospital, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author
Abstract
McCune-Albright syndrome (MAS) is a rare disease characterized by a triad of fibrous dysplasia, cafe-au-lait spots and peripheral precocious puberty. We reported a 5-year- 8-month old girl with MAS who has been followed-up for 2 years and 8 months. She was referred to pediatric endocrinology clinic in our hospital for vaginal bleeding at age of 2 years 11 months. She had peripheral precocious puberty, i.e. increased estrogen level associated with very low gonadotropins, and cafe-au-lait spots on her face and was diagnosed as MAS. The patient was treated with estrogen receptor blocker (tamoxifen). She had no menses during the 2 years and 8 months of tamoxifen treatment. Her growth rate and bone maturation were also in normal ranges. However, at the end of tamoxifen treatment she had an episode of vaginal bleeding so that we had to change to other treatment modalities.
Keywords
McCune-Albright syndrome - precocious puberty – tamoxifen – genetic disorders - gonadotropins
References
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DOI:
https://doi.org/10.19106/JMedScie/0050032018014
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Copyright (c) 2018 Rianti Puji Lestari, Retno Sutomo, Madarina Julia
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