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Complications and Prognosis
Screening and Prevention
Treat all patients with precocious puberty in consultation with a subspecialist with expertise treating disease (eg, endocrinologist)
Timely referral is important to ensure children can benefit from treatment, but be clear with patients about the uncertainty of benefits over harms from investigation and treatment
Vision changes in any patient with precocious puberty are concerning for central nervous system lesion with optic nerve involvement; obtain urgent head MRI with pituitary imaging and initiate prompt referral to pediatric neurosurgeon
Central precocious puberty
Peripheral precocious puberty
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