Puberty is a difficult and confusing time for children, but it should not have to be for the primary care physician. It is essential that healthcare providers have a working knowledge of normal development as well as abnormal physiology to navigate patients smoothly through this time. This includes an understanding of conditions such as premature thelarche, premature adrenarche, precocious puberty, and delayed puberty. The objective of this article is to create a clinical framework that will enable the primary care provider to identify variations from normal pubertal development and to create a plan for diagnosis and treatment
ABOUT THE AUTHORS
Mary V. Greiner, MD, is Pediatric Resident, Department of Pediatrics, Wake Forest University Health Sciences, Winston-Salem, NC. Dr. Kerrigan is Professor of Pediatric Endocrinology, Wake Forest University Health Sciences.
Address correspondence to: James R. Kerrigan, MD, Department of Pediatrics, Wake Forest University Health Sciences, Medical Center Boulevard, Winston-Salem, North Carolina 27157, fax: 336-716-9229, email@example.com.
The authors disclosed no relevant financial relationships.