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  • Review
  • Open Access
4 Citations
6,539 Views
10 Pages

Breast and Formula Milk and Early Puberty Onset

  • Valeria Calcaterra,
  • Hellas Cena,
  • Francesca Sottotetti,
  • Virginia Rossi,
  • Federica Loperfido and
  • Gianvincenzo Zuccotti

14 October 2023

Nutrients have an enormous impact on many hormonal systems and aspects of health, and nutrition status is a crucial regulator of growth and pubertal development in children and adolescents. In this narrative review, we explore the connection between...

  • Feature Paper
  • Review
  • Open Access
4 Citations
5,184 Views
17 Pages

Nutrition, Growth, and Age at Puberty in Heifers

  • Francesco Fantuz,
  • Antonella Fatica,
  • Elisabetta Salimei,
  • Fausto Marcantoni and
  • Luca Todini

27 September 2024

Puberty onset and age at first calving have a critical impact on livestock production for good reproductive efficiency of the herd and to reduce the duration of the non-productive stage of the growing heifer. Besides genetic factors, sexual maturatio...

  • Review
  • Open Access
4 Citations
4,534 Views
13 Pages

The Interplay Between Body Weight and the Onset of Puberty

  • Alexandros K. Kythreotis,
  • Marina Nicolaou,
  • Eirini Mitsinga,
  • Habib Daher and
  • Nicos Skordis

This overview explores the complex relationship between environmental factors, particularly obesity, and the timing of puberty, with a focus on how hormonal and genetic interactions are influenced by external conditions. Puberty (gonadarche) is chara...

  • Review
  • Open Access
18 Citations
10,566 Views
9 Pages

Endocrine-Disrupting Chemicals and Early Puberty in Girls

  • Anastasios Papadimitriou and
  • Dimitrios T Papadimitriou

In recent decades, pubertal onset in girls has been considered to occur at an earlier age than previously. Exposure to endocrine-disrupting chemicals (EDCs) has been associated with alterations in pubertal timing, with several reports suggesting that...

  • Review
  • Open Access
31 Citations
21,148 Views
31 Pages

The Role of Pediatric Nutrition as a Modifiable Risk Factor for Precocious Puberty

  • Valeria Calcaterra,
  • Elvira Verduci,
  • Vittoria Carlotta Magenes,
  • Martina Chiara Pascuzzi,
  • Virginia Rossi,
  • Arianna Sangiorgio,
  • Alessandra Bosetti,
  • Gianvincenzo Zuccotti and
  • Chiara Mameli

7 December 2021

Puberty is a critical phase of growth and development characterized by a complex process regulated by the neuroendocrine system. Precocious puberty (PP) is defined as the appearance of physical and hormonal signs of pubertal development at an earlier...

  • Article
  • Open Access
27 Citations
5,620 Views
10 Pages

Differences in Puberty of Girls before and during the COVID-19 Pandemic

  • Clariano Pires de Oliveira Neto,
  • Rossana Santiago de Sousa Azulay,
  • Ana Gregória Ferreira Pereira de Almeida,
  • Maria da Glória Rodrigues Tavares,
  • Luciana Helena Gama Vaz,
  • Ianik Rafaela Lima Leal,
  • Monica Elinor Alves Gama,
  • Marizélia Rodrigues Costa Ribeiro,
  • Gilvan Cortês Nascimento and
  • Débora Cristina Ferreira Lago
  • + 4 authors

In the COVID-19 pandemic, there was an increase in consultations for precocious puberty. We aim to analyze differences in female puberty before and during the COVID-19 pandemic. A cross-sectional analytical study was designed at the Pediatric Endocri...

  • Review
  • Open Access
55 Citations
11,348 Views
20 Pages

The Effect of Bisphenol A on Puberty: A Critical Review of the Medical Literature

  • Alberto Leonardi,
  • Marta Cofini,
  • Donato Rigante,
  • Laura Lucchetti,
  • Clelia Cipolla,
  • Laura Penta and
  • Susanna Esposito

Many scientific studies have revealed a trend towards an earlier onset of puberty and have disclosed an increasing number of children that display precocious puberty. As an explanation, some authors have considered the global socio-economic improveme...

  • Article
  • Open Access
12 Citations
3,504 Views
15 Pages

Identification of Circular RNAs in Hypothalamus of Gilts during the Onset of Puberty

  • Qingnan Li,
  • Xiangchun Pan,
  • Nian Li,
  • Wentao Gong,
  • Yaosheng Chen and
  • Xiaolong Yuan

12 January 2021

The disorders of puberty have shown negative outcomes on health of mammals, and the hypothalamus is thought to be the main regulator of puberty by releasing GnRH. Many studies show that the circular RNAs (circRNAs) might be implicated in the timing o...

  • Review
  • Open Access
79 Citations
13,659 Views
12 Pages

Endocrine-Disrupting Chemicals and Their Effects during Female Puberty: A Review of Current Evidence

  • Laura Lucaccioni,
  • Viola Trevisani,
  • Lucia Marrozzini,
  • Natascia Bertoncelli,
  • Barbara Predieri,
  • Licia Lugli,
  • Alberto Berardi and
  • Lorenzo Iughetti

Puberty is the process of physical changes between childhood and adulthood during which adolescents reach sexual maturity and become capable of reproduction. It is considered one of the main temporal windows of susceptibility for the influence of the...

  • Article
  • Open Access
4 Citations
3,674 Views
12 Pages

11 September 2021

Objective: Although there have been several studies on the neuroanatomical changes in idiopathic central precocious puberty (ICPP), the association between each brain region and ICPP has not yet been clearly elucidated. This study aimed to evaluate t...

  • Review
  • Open Access
1 Citations
6,714 Views
14 Pages

Decoding Mini-Puberty and Its Clinical Significance: A Narrative Review

  • Anastasios Serbis,
  • Chrysoula Kosmeri,
  • Natalia Atzemoglou,
  • Katerina-Marina Lampropoulou,
  • Lida-Eleni Giaprou,
  • Dimitrios Rallis and
  • Vasileios Giapros

Mini-puberty refers to the transient activation of the hypothalamic–pituitary–gonadal (HPG) axis during early infancy, lasting up to six months in boys and 12–24 months in girls. This phase represents the second activation of the HP...

  • Review
  • Open Access
715 Views
18 Pages

Neurotrophic Control of Puberty: From Molecular Signaling to Disorders of Pubertal Timing

  • Roberto Paparella,
  • Norma Iafrate,
  • Roberta Lucibello,
  • Arianna Bei,
  • Irene Bernabei,
  • Cinzia Fiorentini,
  • Lavinia Marchetti,
  • Francesca Pastore,
  • Vittorio Maglione and
  • Luigi Tarani
  • + 4 authors

The onset of puberty is a critical developmental milestone regulated by complex neuroendocrine networks that integrate genetic, metabolic, and environmental cues. Among the molecular systems coordinating this transition, neurotrophins—including...

  • Review
  • Open Access
49 Citations
8,297 Views
17 Pages

Inflammatory bowel diseases (IBD) are gastrointestinal tract pathologies of unknown etiology; they have an alternating trend, with active and silent phases. IBD are classified in two main forms: ulcerative colitis (UC) and Crohn’s disease (CD)....

  • Review
  • Open Access
21 Citations
6,760 Views
20 Pages

The gut microbiota has been implicated in the context of sexual maturation during puberty, with discernible differences in its composition before and after this critical developmental stage. Notably, there has been a global rise in the prevalence of...

  • Review
  • Open Access
25 Citations
6,540 Views
13 Pages

Childhood Obesity, Hypothalamic Inflammation, and the Onset of Puberty: A Narrative Review

  • Anastasia-Maria Tzounakou,
  • Galateia Stathori,
  • George Paltoglou,
  • Georgios Valsamakis,
  • George Mastorakos,
  • Nikolaos F. Vlahos and
  • Evangelia Charmandari

31 May 2024

The onset of puberty, which is under the control of the hypothalamic–pituitary–gonadal (HPG) axis, is influenced by various factors, including obesity, which has been associated with the earlier onset of puberty. Obesity-induced hypothala...

  • Review
  • Open Access
33 Citations
4,949 Views
9 Pages

Diet-Induced Hypothalamic Inflammation, Phoenixin, and Subsequent Precocious Puberty

  • Georgios Valsamakis,
  • Angeliki Arapaki,
  • Dimitris Balafoutas,
  • Evangelia Charmandari and
  • Nikolaos F. Vlahos

29 September 2021

Recent studies have shown a rise in precocious puberty, especially in girls. At the same time, childhood obesity due to overnutrition and energy imbalance is rising too. Nutrition and fertility are currently facing major challenges in our societies,...

  • Article
  • Open Access
30 Citations
6,153 Views
12 Pages

Changes in Children’s Body Composition and Posture during Puberty Growth

  • Wojciech Rusek,
  • Joanna Baran,
  • Justyna Leszczak,
  • Marzena Adamczyk,
  • Rafał Baran,
  • Aneta Weres,
  • Grzegorz Inglot,
  • Ewelina Czenczek-Lewandowska and
  • Teresa Pop

The main goal of our study was to determine how the age of children, puberty and anthropometric parameters affect the formation of body composition and faulty body posture development in children. The secondary goal was to determine in which body seg...

  • Review
  • Open Access
218 Citations
18,582 Views
13 Pages

Association between Obesity and Puberty Timing: A Systematic Review and Meta-Analysis

  • Wenyan Li,
  • Qin Liu,
  • Xu Deng,
  • Yiwen Chen,
  • Shudan Liu and
  • Mary Story

This systematic review and meta-analysis examined the associations between obesity and puberty timing based on scientific evidence. Eight electronic databases were searched up to February 2017 for eligible studies, and two reviewers screened the arti...

  • Review
  • Open Access
8 Citations
7,566 Views
14 Pages

Association between Vitamin D Levels, Puberty Timing, and Age at Menarche

  • Valeria Calcaterra,
  • Vittoria Carlotta Magenes,
  • Veronica Maria Tagi,
  • Roberta Grazi,
  • Alice Bianchi,
  • Hellas Cena,
  • Gianvincenzo Zuccotti and
  • Valentina Fabiano

19 July 2023

Pubertal development represents the process of physical maturation where an adolescent reaches sexual maturity and attains reproductive function. The effects of vitamin D are mainly mediated by the vitamin D receptor (VDR), which is expressed in almo...

  • Article
  • Open Access
3 Citations
3,589 Views
11 Pages

Association between being Overweight in Young Childhood and during School Age and Puberty

  • Genki Shinoda,
  • Yudai Nagaoka,
  • Fumihiko Ueno,
  • Naoyuki Kurokawa,
  • Ippei Takahashi,
  • Tomomi Onuma,
  • Aoi Noda,
  • Keiko Murakami,
  • Mami Ishikuro and
  • Shinichi Kuriyama
  • + 3 authors

To examine whether body type at birth, body weight, and obesity in early childhood are associated with overweight/obesity during school age and puberty. Data from maternal and child health handbooks, baby health checkup information, and school physic...

  • Review
  • Open Access
92 Citations
5,634 Views
14 Pages

Background: Epidemiological studies reporting the effect of small fetuses (SF) on puberty development have shown inconsistent results. Objective: To examine current study evidence and determine the strength and direction of the association between SF...

  • Article
  • Open Access
1,299 Views
18 Pages

Expression Dynamics and Estrogen Response of Estrogen Receptors in Duolang Sheep During Puberty

  • Lexiao Zhu,
  • Gul Muhammad Shahbaz,
  • Huiping Sun,
  • Jihu Zhang,
  • Wei Li,
  • Ruohuai Gu and
  • Feng Xing

24 June 2025

Background/Objectives: Puberty is a critical stage in sheep development when reproductive capability is established, but the hormonal mechanisms underlying this transition remain incompletely understood. This study aimed to investigate the dynamic ch...

  • Article
  • Open Access
3 Citations
3,945 Views
12 Pages

22 March 2023

There are many different variations in sex characteristics, some of which have implications for how the body goes through puberty. This paper draws from critical disability studies and childhood and youth studies to understand the teenage experiences...

  • Review
  • Open Access
1,095 Views
24 Pages

Puberty Starts in the Gut: Intestinal Clues to Early Puberty-Rethinking Biomarkers in Pediatric Endocrinology

  • Otilia Elena Frăsinariu,
  • Teodora Cristina Vintilă,
  • Ioana Vasiliu,
  • Violeta Ștreangă,
  • Aniela Rugină,
  • Oana Raluca Temneanu,
  • Ionuț Daniel Iancu,
  • Andreea Iațentiuc,
  • Elena Jechel and
  • Alexandru Florescu

25 December 2025

Central precocious puberty (CPP) may be influenced by gut microbiota through changes in short-chain fatty acids (SCFAs), β-glucuronidase activity, and enterohepatic estrogen recycling. This narrative review integrates current evidence from human...

  • Review
  • Open Access
16 Citations
4,163 Views
11 Pages

The Notch signaling pathway is highly conserved during evolution. It has been well documented that Notch signaling regulates cell proliferation, migration, and death in the nervous, cardiac, and endocrine systems. The Notch pathway is relatively simp...

  • Article
  • Open Access
12 Citations
5,838 Views
12 Pages

Melatonin Administration Accelerates Puberty Onset in Mice by Promoting FSH Synthesis

  • Chan Yang,
  • Zaohong Ran,
  • Guoshi Liu,
  • Rong Hou,
  • Changjiu He,
  • Qinghua Liu,
  • Yingjun Chen,
  • Yuliang Liu,
  • Xiaodong Wang and
  • Xiang Li
  • + 2 authors

Although melatonin has been extensively studied in animal reproduction, the mechanism of melatonin in puberty remains elusive. This study was designed to explore the effect of intraperitoneal administration of melatonin on puberty onset in female mic...

  • Review
  • Open Access
12 Citations
8,773 Views
12 Pages

Clinical Management and Therapy of Precocious Puberty in the Sapienza University Pediatrics Hospital of Rome, Italy

  • Ginevra Micangeli,
  • Roberto Paparella,
  • Francesca Tarani,
  • Michela Menghi,
  • Giampiero Ferraguti,
  • Francesco Carlomagno,
  • Matteo Spaziani,
  • Ida Pucarelli,
  • Antonio Greco and
  • Luigi Tarani
  • + 1 author

10 October 2023

Puberty identifies the transition from childhood to adulthood. Precocious puberty is the onset of signs of pubertal development before age eight in girls and before age nine in boys, it has an incidence of 1/5000–1/10,000 with an F:M ratio rang...

  • Review
  • Open Access
25 Citations
5,641 Views
21 Pages

Effects on Puberty of Nutrition-Mediated Endocrine Disruptors Employed in Agriculture

  • Anastasia Konstantina Sakali,
  • Alexandra Bargiota,
  • Ioannis G. Fatouros,
  • Athanasios Jamurtas,
  • Djuro Macut,
  • George Mastorakos and
  • Maria Papagianni

22 November 2021

Pesticide residues are largely found in daily consumed food because of their extensive use in farming and their long half-life, which prolongs their presence in the environment. Many of these pesticides act as endocrine-disrupting chemicals after pre...

  • Article
  • Open Access
11 Citations
3,458 Views
6 Pages

23 November 2020

For experiment one, blood samples were obtained from 200 gilts at 90, 120, 150, 180, and 200 days of age. Serum samples from the 30 youngest (166.1 ± 0.7 days) and 30 oldest (198.8 ± 0.6 days) gilts exhibiting estrus by 200 days, and a...

  • Article
  • Open Access
6 Citations
3,256 Views
15 Pages

Cognitive Flexibility in Mice: Effects of Puberty and Role of NMDA Receptor Subunits

  • Lisa Seifried,
  • Elaheh Soleimanpour,
  • Daniela C. Dieterich and
  • Markus Fendt

22 April 2023

Cognitive flexibility refers to the ability to adapt flexibly to changing circumstances. In laboratory mice, we investigated whether cognitive flexibility is higher in pubertal mice than in adult mice, and whether this difference is related to the ex...

  • Systematic Review
  • Open Access
4 Citations
2,897 Views
14 Pages

The Role of SNPs in the Pathogenesis of Idiopathic Central Precocious Puberty in Girls

  • Konstantina Toutoudaki,
  • George Paltoglou,
  • Dimitrios T. Papadimitriou,
  • Anna Eleftheriades,
  • Ermioni Tsarna and
  • Panagiotis Christopoulos

25 February 2023

The initiation of puberty is a crucial timepoint of development, with its disruptions being associated with multiple physical and psychological complications. Idiopathic Central Precocious Puberty (iCPP) has been correlated with Single-Nucleotide Pol...

  • Article
  • Open Access
10 Citations
3,419 Views
12 Pages

Association between Dietary Habits and Parental Health with Obesity among Children with Precocious Puberty

  • Yong Hee Hong,
  • Yeon Ju Woo,
  • Jong Hyun Lee,
  • Young-Lim Shin and
  • Hee-Sook Lim

8 November 2020

Precocious puberty, resulting in various physical, mental, and social changes, may have negative consequences for children and their families. In this study, we investigated whether there were differences between parental obesity, children’s an...

  • Review
  • Open Access
108 Views
22 Pages

10 March 2026

Background/Objectives: Precocious puberty in girls currently appears to be one of the main problems in pediatric endocrine gynecology. Early onset of menstruation (EOM) means that the age at which the first menstruation occurs is lower than the avera...

  • Article
  • Open Access
11 Citations
2,948 Views
12 Pages

Effects of Ambient Air Pollution on Precocious Puberty: A Case-Crossover Analysis in Nanjing, China

  • Haibo Yang,
  • Aichen Ge,
  • Hang Xie,
  • Wei Li,
  • Yizhou Qin,
  • Wentao Yang,
  • Dandan Wang,
  • Wei Gu and
  • Xu Wang

29 December 2022

Background: Ambient air pollution is closely related to a variety of health outcomes. Few studies have focused on the correlations between air pollution exposure and children’s sexual development. In this study, we investigated the potential effects...

  • Review
  • Open Access
42 Citations
10,454 Views
20 Pages

Links between Childhood Obesity, High-Fat Diet, and Central Precocious Puberty

  • Valeria Calcaterra,
  • Vittoria Carlotta Magenes,
  • Chiara Hruby,
  • Francesca Siccardo,
  • Alessandra Mari,
  • Erika Cordaro,
  • Valentina Fabiano and
  • Gianvincenzo Zuccotti

29 January 2023

In recent years, the existing relationship between excess overweight and central precocious puberty (CPP) has been reported, especially in girls. Different nutritional choices have been associated with different patterns of puberty. In particular, th...

  • Review
  • Open Access
3 Citations
9,002 Views
21 Pages

Precocious Puberty and Benign Variants in Female Children: Etiology, Diagnostic Challenges, and Clinical Management

  • Roberto Paparella,
  • Arianna Bei,
  • Lorenzo Brilli,
  • Vittorio Maglione,
  • Francesca Tarani,
  • Marcello Niceta,
  • Ida Pucarelli and
  • Luigi Tarani

Precocious puberty, defined as the onset of secondary sexual characteristics before age 8 in girls, presents a diagnostic challenge in distinguishing between normal variants and pathological conditions requiring intervention. Central precocious puber...

  • Case Report
  • Open Access
2 Citations
5,099 Views
9 Pages

17 March 2023

Frasier syndrome (FS) is a rare inherited disorder characterized by gonadal dysgenesis and progressive nephropathy, resulting from mutations in the intron 9 splice donor site of the Wilms tumor 1 (WT1) gene. It is associated with male gonadal dysgene...

  • Article
  • Open Access
6 Citations
3,006 Views
12 Pages

13 June 2024

Limited knowledge is available about the association between autistic spectrum disorder (ASD) and precocious puberty. Our study examined the association between the two medical conditions and effect modification by sex and neuropsychiatric comorbidit...

  • Review
  • Open Access
38 Citations
11,215 Views
19 Pages

Undernutrition during fetal and postnatal life is still a major problem in many low- and middle-income countries. Even in high-income countries malnutrition may exist in cases of intrauterine growth retardation, as well as in chronic conditions such...

  • Review
  • Open Access
477 Views
14 Pages

15 January 2026

Background: Mini-puberty is a transient but critical postnatal activation of the hypothalamic–pituitary–gonadal axis, essential for male gonadal maturation, penile and testicular growth, and future reproductive potential: this physiologic...

  • Article
  • Open Access
424 Views
19 Pages

Differential microRNA Expression Profiles in Girls with Idiopathic Central Precocious Puberty and Premature Thelarche

  • Hye Jin Lee,
  • Seon Joo Bae,
  • Eu Seon Noh,
  • Hye Young Jin,
  • Il Tae Hwang,
  • Seongho Ryu and
  • Hwal Rim Jeong

11 February 2026

Idiopathic central precocious puberty (CPP) is increasingly observed in girls. Premature thelarche (PT) and exaggerated thelarche (ET) are early pubertal variants that can be challenging to distinguish from CPP in clinical practice. Exosomal microRNA...

  • Article
  • Open Access
20 Citations
7,530 Views
16 Pages

Delay of the Onset of Puberty in Female Rats by Prepubertal Exposure to T-2 Toxin

  • Rong Yang,
  • Yi-Mei Wang,
  • Li-Shi Zhang,
  • Li Zhang,
  • Zeng-Ming Zhao,
  • Jun Zhao and
  • Shuang-Qing Peng

9 November 2015

Growing evidence has revealed the deleterious influence of environmental and food contaminants on puberty onset and development in both animals and children, provoking an increasing health concern. T-2 toxin, a naturally-produced Type A trichothecene...

  • Review
  • Open Access
25 Citations
21,663 Views
22 Pages

Evaluating Phthalates and Bisphenol in Foods: Risks for Precocious Puberty and Early-Onset Obesity

  • Valeria Calcaterra,
  • Hellas Cena,
  • Federica Loperfido,
  • Virginia Rossi,
  • Roberta Grazi,
  • Antonia Quatrale,
  • Rachele De Giuseppe,
  • Matteo Manuelli and
  • Gianvincenzo Zuccotti

16 August 2024

Recent scientific results indicate that diet is the primary source of exposure to endocrine-disrupting chemicals (EDCs) due to their use in food processing, pesticides, fertilizers, and migration from packaging to food, particularly in plastic or can...

  • Article
  • Open Access
23 Citations
5,235 Views
12 Pages

Objective: Children with precocious puberty (PP) may have increased physiological and psychological problems. In this study, we aimed to explore the trend of parents seeking medical care for their children with precocious puberty. Methods: The Taiwan...

  • Review
  • Open Access
15 Citations
4,855 Views
12 Pages

Ante-Natal and Post-Natal Influences on Neonatal Immunity, Growth and Puberty of Calves—A Review

  • Claudia L. Cardoso,
  • Ailbhe King,
  • Aspinas Chapwanya and
  • Giulia Esposito

22 April 2021

Calf immunity, growth and puberty are important factors affecting heifer productivity. The first four weeks of age are critical for reducing calf morbidity and mortality. It is well documented that colostrum is paramount to neonatal nutrition and pas...

  • Review
  • Open Access
2 Citations
1,627 Views
15 Pages

28 March 2025

Background/Objectives: Inborn errors of metabolism (IEMs) represent a diverse group of genetic disorders characterized by enzymatic defects that disrupt metabolic pathways, leading to toxic metabolite accumulation, deficits, or impaired macromolecule...

  • Review
  • Open Access
8 Citations
5,126 Views
12 Pages

Alterations in Appetite-Regulating Hormones in Girls with Central Early or Precocious Puberty

  • Galateia Stathori,
  • Anastasia-Maria Tzounakou,
  • George Mastorakos,
  • Nikolaos F. Vlahos,
  • Evangelia Charmandari and
  • Georgios Valsamakis

9 October 2023

The prevalence of central precocious puberty (CPP) in girls has increased worldwide and is often associated with obesity in childhood as well as high fat/high glycemic index diets. Evidence suggests that subjects with obesity present with alterations...

  • Article
  • Open Access
13 Citations
5,092 Views
14 Pages

Exogenous Melatonin Regulates Puberty and the Hypothalamic GnRH-GnIH System in Female Mice

  • Zixuan Chen,
  • Lina Si,
  • Weihan Shu,
  • Xin Zhang,
  • Chenyang Wei,
  • Meng Wei,
  • Luyang Cheng,
  • Zhihong Chen,
  • Yuebing Qiao and
  • Songhe Yang

15 November 2022

In recent years, the age of children entering puberty is getting lower and the incidence of central precocious puberty is increasing. It is known that melatonin plays an increasingly important role in regulating animal reproduction, but the specific...

  • Article
  • Open Access
8 Citations
3,786 Views
15 Pages

Doppler Examination of the Testicular Artery of Beagle-Breed Dogs from Birth to Puberty

  • Athina P. Venianaki,
  • Mariana S. Barbagianni,
  • George C. Fthenakis,
  • Apostolos D. Galatos and
  • Pagona G. Gouletsou

23 July 2023

The objectives were (a) the study of haemodynamic parameters of blood flow within the testicular artery, (b) the assessment of differences in these parameters at different segments of the artery (i.e., sequentially, as the artery flows through differ...

  • Feature Paper
  • Review
  • Open Access
2,557 Views
9 Pages

Precocious Puberty in Boys with NR0B1 Variants

  • Atsushi Hattori and
  • Maki Fukami

15 November 2024

Precocious puberty (PP) requires appropriate management to prevent short adult height, psychosocial issues, and other adverse outcomes. Genetic diagnosis potentially improves the management of PP. Pathogenic NR0B1 variants, which typically cause X-li...

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