Central precocious puberty is diagnosed when puberty starts earlier than the norm. By definition, breast development before 8 years old in girls and testicular enlargement before 9 years old in boys. CPP is likely idiopathic in 80-90% of girls and pathogenic in 80-90% of boys. Although the secular trend is showing earlier breast development in girls worldwide, the age of menarche hasn’t change much in the past decade. Having said that more data is needed in Malaysia to see if our children are showing similar trend. Early recognition and identification of this condition is necessary for assessment and treatment should it cause a concern. CPP is associated with initial height and growth spurt but eventually will end up short as adults. And apart from that early physical change and menarche may cause anxiety and psychosocial concerns in children as well as parents.
This lecture will cover a general approach on CPP and discussion on how early identification and treatment may help with the outcome. Causes and a few cases will be discussed for better illustration and understanding.