Delayed puberty classification: Difference between revisions
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==Overview== | ==Overview== | ||
Delayed puberty is almost always due to [[physiologic]] exaggerated prolongation of [[puberty]] timing in boys, a condition called "[[Constitutional delay of puberty|constitutional delay of growth and puberty (CDGP)]]". But the disease may sometimes has another [[Pathophysiology|pathophysiologies]], such as hypergonadotropic [[hypogonadism]], permanent [[hypogonadotropic hypogonadism]], and functional [[hypogonadotropic hypogonadism]]. | |||
==Classification== | ==Classification== | ||
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{{Family tree | | | | | | | | A01 | | | | | | | | | | | | | |A01= '''Delayed puberty'''<br>classification}} | {{Family tree | | | | | | | | A01 | | | | | | | | | | | | | |A01= '''Delayed puberty'''<br>classification}} | ||
{{Family tree | | | | | | | | |!| | | | | | | | | | | | | | |}} | {{Family tree | | | | | | | | |!| | | | | | | | | | | | | | |}} | ||
{{Family tree | | | | | | | | B01 | | | | | | | | | | | | | B01= LH, FSH, and GnRH<br>measurement}} | {{Family tree | | | | | | | | B01 | | | | | | | | | | | | | B01= [[LH]], [[FSH]], and [[GnRH]]<br>measurement}} | ||
{{Family tree | | | |,|-|-|-|-|^|-|-|-|-|.| | | | | | | | | }} | {{Family tree | | | |,|-|-|-|-|^|-|-|-|-|.| | | | | | | | | }} | ||
{{Family tree | | | C01 | | | | | | | | C02 | | | | | | |C01= Normal| C02= Abnormal}} | {{Family tree | | | C01 | | | | | | | | C02 | | | | | | |C01= Normal| C02= Abnormal}} | ||
{{Family tree | | | |!| | | | |,|-|-|-|-|+|-|-|-|-|.| | | | |}} | {{Family tree | | | |!| | | | |,|-|-|-|-|+|-|-|-|-|.| | | | |}} | ||
{{Family tree | | | D01 | | | D02 | | | D03 | | | D04 | | | |D01= Constitutional delay of growth and puberty (CDGP)|D02=[[LH]] and [[FSH]] decreased<br>[[GnRH]] increased|D03=[[LH]] and [[FSH]] decreased<br>[[GnRH]] decreased|D04=[[LH]] and [[FSH]] decreased<br>[[GnRH]] decreased<br>(transient) }} | {{Family tree | | | D01 | | | D02 | | | D03 | | | D04 | | | |D01= [[Constitutional delay of puberty|constitutional delay of growth and puberty (CDGP)]]|D02=[[LH]] and [[FSH]] decreased<br>[[GnRH]] increased|D03=[[LH]] and [[FSH]] decreased<br>[[GnRH]] decreased|D04=[[LH]] and [[FSH]] decreased<br>[[GnRH]] decreased<br>(transient) }} | ||
{{Family tree | | | | | | | | |!| | | | |!| | | | |!| | | | | |}} | {{Family tree | | | | | | | | |!| | | | |!| | | | |!| | | | | |}} | ||
{{Family tree | | | | | | | | E01 | | | E02 | | | E03 | | | |E01= Hypergonadotropic hypogonadism|E02=Permanent hypogonadotropic hypogonadism|E03=Functional hypogonadotropic hypogonadism}} | {{Family tree | | | | | | | | E01 | | | E02 | | | E03 | | | |E01= Hypergonadotropic [[hypogonadism]]|E02=Permanent [[hypogonadotropic hypogonadism]]|E03=Functional [[hypogonadotropic hypogonadism]]}} | ||
{{Family tree/end}} | {{Family tree/end}} | ||
Revision as of 17:00, 29 August 2017
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Delayed puberty Microchapters |
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Delayed puberty classification On the Web |
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Risk calculators and risk factors for Delayed puberty classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Delayed puberty is almost always due to physiologic exaggerated prolongation of puberty timing in boys, a condition called "constitutional delay of growth and puberty (CDGP)". But the disease may sometimes has another pathophysiologies, such as hypergonadotropic hypogonadism, permanent hypogonadotropic hypogonadism, and functional hypogonadotropic hypogonadism.
Classification
Delayed puberty is almost always due to physiologic exaggerated prolongation of puberty timing in boys, a condition called "constitutional delay of growth and puberty (CDGP)". Delayed puberty may sometimes has another pathophysiologies, however, the CDGP is the most common cause of delayed puberty in both boys and girls. The main classification of delayed puberty is as following:[1]
| Delayed puberty classification | |||||||||||||||||||||||||||||||||||||||||||||||||
| LH, FSH, and GnRH measurement | |||||||||||||||||||||||||||||||||||||||||||||||||
| Normal | Abnormal | ||||||||||||||||||||||||||||||||||||||||||||||||
| constitutional delay of growth and puberty (CDGP) | LH and FSH decreased GnRH increased | LH and FSH decreased GnRH decreased | LH and FSH decreased GnRH decreased (transient) | ||||||||||||||||||||||||||||||||||||||||||||||
| Hypergonadotropic hypogonadism | Permanent hypogonadotropic hypogonadism | Functional hypogonadotropic hypogonadism | |||||||||||||||||||||||||||||||||||||||||||||||
References
- ↑ Palmert, Mark R.; Dunkel, Leo (2012). "Delayed Puberty". New England Journal of Medicine. 366 (5): 443–453. doi:10.1056/NEJMcp1109290. ISSN 0028-4793.