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Etiological Aspects

Isolated Idiopathic IHH

The Adolescent Girl • • Delayed Puberty • • Etiological AspectsSep 14 06

Impaired Pulsatile Secretion of LHRH
In absence of anosmia, the Kal gene is not involved, as… Isolated Idiopathic IHH   

Congenital Gonadotropin Deficiency

The Adolescent Girl • • Delayed Puberty • • Etiological AspectsSep 14 06

Primary gonadotropin deficiency is associated with very low levels of FSH and LH, concordant bone age, normal stature… Congenital Gonadotropin Deficiency   

Iatrogenic Ovarian Failure

The Adolescent Girl • • Delayed Puberty • • Etiological AspectsSep 14 06

Prepubertal girls treated with radiation therapy or chemotherapy may present gonadal failure with delayed puberty or primary or… Iatrogenic Ovarian Failure   

Non-Tumoral Acquired Organic Lesions of CNS

The Adolescent Girl • • Delayed Puberty • • Etiological AspectsSep 14 06

- Histiocytosis X (Hans-Schüller-Christian disease) is characterized by multiple organ infiltration (skin, bone, viscera) by histiocytic cells.… Non-Tumoral Acquired Organic Lesions of CNS   

Acquired IHH

The Adolescent Girl • • Delayed Puberty • • Etiological AspectsSep 14 06

Organic Direct Gonadotropin Deficiency
To establish etiological diagnosis, complete medical history and clinical exam are associated… Acquired IHH   

Karyotypically Normal 46,XX Ovarian Dysgenesis

The Adolescent Girl • • Delayed Puberty • • Etiological AspectsSep 14 06

Ovarian dysgenesis with a normal 46,XX karyotype is defined by reduced or altered ovaries, a female phenotype, and… Karyotypically Normal 46,XX Ovarian Dysgenesis   

Delayed Puberty Etiological Aspects

The Adolescent Girl • • Delayed Puberty • • Etiological AspectsSep 14 06

Actually, after this clinical exam and these simple complementary investigations, the physician often has a presumptive diagnosis. The… Delayed Puberty Etiological Aspects   

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