Incidence and Characteristics of Pseudoprecocious Puberty Because of Severe Primary Hypothyroidism

Severe primary hypothyroidism is a presumed rare cause of pseudoprecocious puberty (PsPP). Here, we report a 24% incidence of PsPP among 33 children with profound hypothyroidism. Those with PsPP were older and trended toward a higher thyroid stimulating hormone. Increased awareness of PsPP can hasten diagnosis and appropriate treatment. (J Pediatr 2013;162:637-9).