A Case of Familial Male-limited Precocious Puberty with a Novel Mutation

Familial male-limited precocious puberty (FMPP), also known as testotoxicosis, is a rare cause of precocious puberty in males. It is caused by a mutation in the luteinizing hormone/chorionic gonadotropin receptor (LHCGR) gene, resulting in the receptor being constitutively activated. This causes exc...

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Main Authors: Shilpa Gurnurkar, Emily DiLillo, Mauri Carakushansky
Format: Article
Language:English
Published: Galenos Yayincilik 2021-06-01
Series:JCRPE
Subjects:
Online Access: http://www.jcrpe.org/archives/archive-detail/article-preview/a-case-of-familial-male-limited-precocious-puberty/39964
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author Shilpa Gurnurkar
Emily DiLillo
Mauri Carakushansky
author_facet Shilpa Gurnurkar
Emily DiLillo
Mauri Carakushansky
author_sort Shilpa Gurnurkar
collection DOAJ
description Familial male-limited precocious puberty (FMPP), also known as testotoxicosis, is a rare cause of precocious puberty in males. It is caused by a mutation in the luteinizing hormone/chorionic gonadotropin receptor (LHCGR) gene, resulting in the receptor being constitutively activated. This causes excessive production of testosterone, leading to precocious puberty in males. Generally, boys present with signs of puberty, such as pubic hair growth, acne, and increased height velocity around the age of 2-4 years old. Like any other cause of precocious puberty, the goal of treatment is to prevent virilization and also delay closure of the epiphyseal plates to maintain adult height potential. Treatment, therefore, is aimed at decreasing the effects of testosterone, as well as stopping the conversion of testosterone to estrogen. Little is known about the long-term effects of treatment because the disorder is so rare. However, studies using bicalutamide and anastrozole have been promising. In this report, we present a boy with FMPP with a novel mutation in the LHCGR gene, who has been responding well to therapy using both drugs.
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spelling doaj.art-5dafb1f35012462db7bad401dc51e3572023-02-15T16:14:57ZengGalenos YayincilikJCRPE1308-57271308-57352021-06-0113223924410.4274/jcrpe.galenos.2020.2020.006713049054A Case of Familial Male-limited Precocious Puberty with a Novel MutationShilpa Gurnurkar0Emily DiLillo1Mauri Carakushansky2 Nemours Children’s Hospital, Clinic of Pediatrics, Florida, USA Nemours Children’s Hospital, Clinic of Pediatrics, Florida, USA Nemours Children’s Hospital, Clinic of Pediatrics, Florida, USA Familial male-limited precocious puberty (FMPP), also known as testotoxicosis, is a rare cause of precocious puberty in males. It is caused by a mutation in the luteinizing hormone/chorionic gonadotropin receptor (LHCGR) gene, resulting in the receptor being constitutively activated. This causes excessive production of testosterone, leading to precocious puberty in males. Generally, boys present with signs of puberty, such as pubic hair growth, acne, and increased height velocity around the age of 2-4 years old. Like any other cause of precocious puberty, the goal of treatment is to prevent virilization and also delay closure of the epiphyseal plates to maintain adult height potential. Treatment, therefore, is aimed at decreasing the effects of testosterone, as well as stopping the conversion of testosterone to estrogen. Little is known about the long-term effects of treatment because the disorder is so rare. However, studies using bicalutamide and anastrozole have been promising. In this report, we present a boy with FMPP with a novel mutation in the LHCGR gene, who has been responding well to therapy using both drugs. http://www.jcrpe.org/archives/archive-detail/article-preview/a-case-of-familial-male-limited-precocious-puberty/39964 familial male-limited precocious pubertybone ageshort statureadult height
spellingShingle Shilpa Gurnurkar
Emily DiLillo
Mauri Carakushansky
A Case of Familial Male-limited Precocious Puberty with a Novel Mutation
JCRPE
familial male-limited precocious puberty
bone age
short stature
adult height
title A Case of Familial Male-limited Precocious Puberty with a Novel Mutation
title_full A Case of Familial Male-limited Precocious Puberty with a Novel Mutation
title_fullStr A Case of Familial Male-limited Precocious Puberty with a Novel Mutation
title_full_unstemmed A Case of Familial Male-limited Precocious Puberty with a Novel Mutation
title_short A Case of Familial Male-limited Precocious Puberty with a Novel Mutation
title_sort case of familial male limited precocious puberty with a novel mutation
topic familial male-limited precocious puberty
bone age
short stature
adult height
url http://www.jcrpe.org/archives/archive-detail/article-preview/a-case-of-familial-male-limited-precocious-puberty/39964
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