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A 7-year-old girl was admitted to hospital with breast enlargement and vaginal bleeding. Her medical history revealed that breast development was started at the age of 5 and she had three episodes of non-cyclic vaginal bleeding during this time.
A physical examination revealed that her height was 136.5 cm (+2.5 SDS, target height −0.5 SDS), weight was 30 kg (+1.2 SDS), breast development was Tanner stage 3 with no pubic hair. She had facial asymmetry …
Contributor AA planned, conducted and submitted the study.
Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Consent obtained from parent(s)/guardian(s).
Provenance and peer review Not commissioned; externally peer reviewed.