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Scholars Journal of Medical Case Reports | Volume-13 | Issue-05
Early Onset Puberty: A Case Study of Precocious Puberty in a 20-Month-Old Girl
Oussama Jaddi, Sana Rafi, Sara Ijdda, Ghizlane El Mghari, Nawal EL Ansari
Published: May 13, 2025 | 64 30
Pages: 873-875
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Abstract
Precocious puberty is a medical condition marked by the early onset of sexual maturation. This article presents a rare case of central precocious puberty (CPP) in a 20-month-old girl, highlighting the diagnostic and therapeutic challenges associated with this condition. The case involves advanced bone maturation and elevated levels of LH and estradiol, indicative of premature activation of the hypothalamic-pituitary-gonadal axis. Treatment with GnRH agonists, specifically Triptorelin (Decapeptyl), proved effective in regressing clinical signs and normalizing hormonal levels. This report emphasizes the importance of early detection and individualized treatment strategies to prevent long-term complications such as reduced adult height. A multidisciplinary approach is crucial for accurate diagnosis and effective management of CPP.