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Pediatric Endocrinology   (Expert Forum)
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pubic hair on infant
Questions in the Pediatric Endocrinology forum are answered by Dr. Deanna L Aftab Guy, affiliated with Vanderbilt Children's Hospital. Topics covered include adrenal problems, diabetes insipidus, menstrual irregularities, obesity, parathyroid abnormalities, pituitary abnormalities, puberty concerns, rapid growth, rickets and bone disease, short stature, and thyroid.

pubic hair on infant

by telissa3, May 08, 2008 08:19PM
Hi.  My daughter, age 13 months, developed very slight pubic hair growth beginning (we think) around 8 months.  She was born prematurely at 33 weeks and did gain weight very rapidly in the first 6 months.  She is now 23lbs, in the 75-90th percentile for both height and weight.  She also has reactive airway disease and is on nebulizer treatments of pulmicort and albuteral as needed.  She used the pulmicort regularly throughout the winter months.  She was referred to a pediatric endo and bone age and blood work were normal.  He is calling it premature adrenarche.  We will be following up with their office regularly to watch her growth.  

My questions: 1) have you had experience with pubic hair growth in infancy caused by inhaled steroids?  Is this even possible?   2) the cases of premature adrenarche I've read about in journals have been of 5-7 year old girls, not infants.  Does the fact that these symptoms are appearing so early for my daughter suggest that she will have ongoing or more serious adrenal problems later in life?  3) what other things should we be monitoring for as she grows?  How often should bloodwork be done?

Thank you for your help!  I'm new at all this, and it's pretty overwhelming!  
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