Commentary reveals rising rates of early puberty and premature breast development in young girls, highlighting the need for careful diagnostic follow-up.
Key messageNationwide Thai data showed that central precocious puberty (CPP) incidence rose sharply during the COVID-19 pandemic and plateaued, whereas premature thelarche (PT) continued to increase postpandemic, particularly among girls aged 7-8 years.Because progression from PT to CPP cannot always be predicted at presentation, longitudinal follow up is preferable to reassurance after a single visit.Childhood obesity may further complicate diagnosis by blunting gonadotropin responses, warranting cautious interpretation of stimulation testing.
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Won Kyoung Cho (2026) studied this question.
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