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Delayed Puberty - Coggle Diagram

- - - - CF
      - severe asthma
      - Crohns
      - organ failure
      - anorexia nervosa
      - starvation
      - excess physical training
    - - panhypopituitarism
      - isolated gonadotropin/GH deficiency
      - intracranial tumours e.g. craniopharyngioma
      - Kallmann syndrome (LHRH deficiency + dysgenesis of olfactory bulb)
  - - - Klinefelter syndrome (47 XXY)
      - Turner syndrome (45 XO)
    - - surgery
      - chemo
      - radio
      - trauma
      - torsion
      - AI
- - - - will induce some catch-up growth but not secondary sex characteristics