Caracterización clínico-epidemiológica de los pacientes con pubertad precoz atendidos en el área de consulta externa del Hospital Dr. Roberto Gilbert Elizalde, año 2020-2022.

Abstract

Introduction: Precocious puberty (PP) is a frequently consulted pathology in the care of the pediatric endocrinology service. Factors that are associated with its presentation have been documented, such as age, race, low birth weight, nutritional status, among other epi-genetics factors, which makes it important to know and identify modifiable factors to direct treatment strategies and recommendations from the field of pediatrics to the parents of these patients. Methods: A descriptive, retrospective cross-sectional study was carried out; including 343 medical records with a diagnosis of PP that met the eligibility criteria, at the Dr. Roberto Gilbert Elizalde Children's Hospital during 2020-2022. Subsequently, the variables under study were analyzed with the purpose of clinically-epidemiologically characterizing the patients in our local reality. Results: A predominance of PP of central etiology was found (99%), with a large majority in females compared to males in 94.31% and 5.69% of cases, respectively. The age of onset of pubertal changes was an average of 7 years for both girls and boys, beginning with thelarche, followed by pubarche data in approximately 80% and 8%. An overall delay from the first sign of puberty to treatment was measured at a median of 9 months. Conclusions: The great variability of the cases demonstrates the need to study pubertal physiological changes in adolescents in a national context to have a better understanding of them, which is why it is suggested to intensify research into the risk factors that may be potentially modified from primary health care.