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The Journal of Clinical Endocrinology & Metabolism Vol. 89, No. 4 1794-1800
Copyright © 2004 by The Endocrine Society

Familial Central Precocious Puberty Suggests Autosomal Dominant Inheritance

Liat de Vries, Arieh Kauschansky, Mordechai Shohat and Moshe Phillip

Institute for Endocrinology and Diabetes, National Center for Childhood Diabetes (L.d.V., A.K., M.P.), and Institute of Genetics (M.S.), Schneider Children’s Medical Center of Israel, Petah Tiqva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel 49202

Address all correspondence and requests for reprints to: Liat de Vries, M.D., Institute of Endocrinology and Diabetes, Schneider Children’s Medical Center of Israel, 14 Kaplan Street, Petah Tiqva, Israel 49202. E-mail: liatd{at}clalit.org.il.

The prevalence of precocious puberty is higher in certain ethnic groups, and some cases may be familial. The aim of this study was to investigate the mode of inheritance of familial precocious puberty and to identify characteristics that distinguish familial from isolated precocious puberty. Of the 453 children referred to our center for suspected precocious puberty between January 1, 1997, and December 31, 2000, 156 (147 girls and 9 boys) were found to have idiopathic central precocious puberty, which was familial in 43 (42 girls and 1 boy) (27.5%). Data of the familial and sporadic cases were compared. The familial group was characterized by a significantly lower maternal age at menarche than the sporadic group (mean, 11.47 ± 1.96 vs. 12.66 ± 1.18 yr; P = 0.0001) and more advanced puberty at admission (Tanner stage 2, 56.5% vs. 78.1%; P = 0.006). Segregation analysis was used to study the mode of inheritance. The segregation ratio for precocious puberty was 0.38 (0.45 after exclusion of young siblings) assuming incomplete penetrance and 0.58 (0.65 after exclusion of young siblings) assuming complete ascertainment. These results suggest autosomal dominant transmission with incomplete, sex-dependent penetrance.

Abbreviations: BMI, Body mass index; FPP, familial precocious puberty; SDS, SD score; SPP, sporadic precocious puberty.




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