Pediatr. praxi. 2009;10(5):289-293

Puberty at a paediatrician‘s practice

RNDr. Daniela Zemková CSc, doc. MUDr. Marta Šnajderová, CSc
Pediatrická klinika 2. LF UK a FN Motol, Praha

Normal timing and course of puberty are very important for the child‘s normal sexual and mental development as well as for attaining

optimal body height. The practical paediatrician plays an irreplaceable role in monitoring the child‘s development, detecting deviations

from the norm, and making an early diagnosis. The review article summarizes the essential knowledge on the hormonal control of

puberty, the development of secondary sex characteristics, and the most common disorders of puberty onset and/or course. It features

practical recommendations of what the paediatrician should pay attention to during preventive check-ups of boys and girls from infancy

to adulthood.

Keywords: hormones, secondary sex characteristics, precocious and delayed puberty, secular trend.

Published: December 1, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Zemková D, Šnajderová M. Puberty at a paediatrician‘s practice. Pediatr. praxi. 2009;10(5):289-293.
Download citation

References

  1. Doležal A, Dvořáková S, Zemková-Hellerová D. Phylogenetic problems of human reproduction. Acta Uniov Carol Med. Monographia CXLI. Praha: Univerzita Karlova; 1992.
  2. Winter JS, Faiman C, Hobson WC, et al. Pituitary - gonadal relations in infancy. I. Patterns of serum gonadotropin concentrations from birth to four years of age in man and chimpanzee. J Clin Endocrinol Metab. 1975; 40: 545-551. Go to original source... Go to PubMed...
  3. Apter D, Butzov TL, Laughlin GA, et al. Gonadotropin releasing hormone pulse generator activity during pubertal transition in girls: pulsatile and diurnal pattern of circulating gonadotropins. J Clin Endocrinol Metab. 1993; 76: 940-949. Go to original source...
  4. Mitsushima D, Hei DL, Terasawa E. Gamma-aminobutyric acid is an inhibitory neurotransmitter restricting the release of gonadotropin releasing hormone before the onset of puberty. Proceeding of the national Academy of Sciences of the USA; 1994; 91: 395-399. Go to original source... Go to PubMed...
  5. Krásničanová H, Lesný P. Kompendium pediatrické auxologie 2005. CD ROM. Praha: Novo Nordisk; 2005.
  6. Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in girls. Arch Dis Childhood, 1969; 44: 291-303. Go to original source... Go to PubMed...
  7. Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in boys. Arch Dis Childhood, 1970; 45: 13-23. Go to original source... Go to PubMed...
  8. Šnajderová M, Zemková D. Předčasná puberta. Praha: Galén; 2000: 124 s.
  9. Šnajderová M. Pohlavní vývoj ženy a primární hypoestrinní stavy. In: Fait T, Šnajderová M (eds). Estrogenní deficit. Praha: Maxdorf; 2007: 46-77.
  10. Prader A, Largo RH, Molinari L, Issler C. Physical growth of Swiss children from birth to twenty years of age. Helv PediatricaActa, Suppl. 52; 1989: 1-125.
  11. Bouchalová M. Vývoj během dětství a jeho ovlivnění. Praha: Avicenum SZN; 1987: 384 s.
  12. Tanner JM, Healy MJ, et al. Assessment of skeletal maturity and prediction of adult height (TW3 method). London: Saunders; 2001: 101 s.
  13. Bláha P, Krejčovský L. Somatický vývoj českých dětí. Semilongitudinální studie. Praha: PřFUK a SZÚ; 2006: 345 s.
  14. Bláha P, Vignerová J, Riedlová J, et al. Celostátní antropologický výzkum dětí a mládeže 2001, Česká republika. Praha: SZÚ; 2005.
  15. Kulin HE, Frontera MA, Demers LM, et al. The onset of sperm production in pubertal boys. Relationship to gonadotropin excretion. Am J Dis Children 1989; 143: 190-193. Go to original source...
  16. Kaplowitz PB, Oberfield SE, et al. Reexamination of the age limit for Defining when Puberty is Precocious in Girls in the United States: Implication for Evaluation and Treatment. Pediatrics 1999; 104: 936-941. Go to original source... Go to PubMed...




Pediatrics for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.