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ENDO-ERN expert opinion on the differential diagnosis of pubertal delay

Persani, L; Bonomi, M; Cools, M; Dattani, M; Dunkel, L; Gravholt, CH; Juul, A; (2021) ENDO-ERN expert opinion on the differential diagnosis of pubertal delay. Endocrine 10.1007/s12020-021-02626-z. (In press). Green open access

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Abstract

The differential diagnoses of pubertal delay include hypergonadotropic hypogonadism and congenital hypogonadotropic hypogonadism (CHH), as well as constitutional delay of growth and puberty (CDGP). Distinguishing between CDGP and CHH may be challenging, and the scientific community has been struggling to develop diagnostic tests that allow an accurate differential diagnosis. Indeed, an adequate and timely management is critical in order to enable optimal clinical and psychosocial outcomes of the different forms of pubertal delays. In this review, we provide an updated insight on the differential diagnoses of pubertal delay, including the available tests, their meanings and accuracy, as well as some clues to effectively orientate towards either constitutional pubertal delay or pathologic CHH and hypergonadotropic hypogonadism.

Type: Article
Title: ENDO-ERN expert opinion on the differential diagnosis of pubertal delay
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s12020-021-02626-z
Publisher version: https://doi.org/10.1007/s12020-021-02626-z
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Constitutional delay of growth and puberty, Gonadal dysgenesis, Hypogonadism, Primary ovarian insufficiency, Pubertal delay, Sex steroid priming
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Genetics and Genomic Medicine Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10120761
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