How is the patient history of precocious puberty characterized in girls?

Updated: Nov 30, 2020
  • Author: Paul B Kaplowitz, MD, PhD; Chief Editor: Robert P Hoffman, MD  more...
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The first and most obvious sign of early puberty is usually breast enlargement, which may initially be unilateral.

Pubic and axillary hair may appear before, at about the same time as, or well after the appearance of breast tissue. Axillary odor usually starts about the same time as the appearance of pubic hair.

Menarche is a late event and does not usually occur until 2-3 years after the onset of breast enlargement.

The pubertal growth spurt occurs early in female puberty and usually is evident by the time of initial evaluation.

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