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Abnormal puberty (Delayed puberty (Environmental: Nutritional (Excessive…
Abnormal puberty
Delayed puberty
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Genetic
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Chromosomal abnormalities resulting in signs of Turner Syndrome or Klinefelter Syndrome (refer to table)
Child grows normally for a few years but fall below the 5th percentile on standard growth curves => Constitutional delay
Excessive thirst and urination, sensitivity to cold => Hypopituitarism
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Contrasexual development
FEMALES: premature/excessive pubic hair, hirsutism => consider hyperandrogenism, polycystic ovaries