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Facial asymmetry in a girl with precocious puberty
  1. Ahmet Anik1
  1. Pediatric Endocrinology, Adnan Menderes University School of Medicine, Aydin, Turkey
  1. Correspondence to Ahmet Anik, Faculty of Medicine, Department of Pediatric Endocrinology, Aydın Adnan Menderes University, Aydin 09100, Turkey; ahmet.anik{at}yahoo.com

http://dx.doi.org/10.1136/postgradmedj-2020-137830

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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 …

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    Footnotes

    • 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.