Premature Adrenarche Workup — RACP Paediatrics MCQ

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ModerateEndocrinologyPremature Adrenarche WorkupRACP Paediatrics

9-year-old girl: pubic hair Tanner 2, axillary odour, no breast development, bone age appropriate. Diagnosis?

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Correct answer: A — Premature adrenarche (benign)

Isolated adrenarche without breast development + appropriate bone age = benign. Exclude CAH with 17-OHP.

Reference: RCH Melbourne – 2024