Case presentation A 10-year-old boy was reported to the hospital under his parents’ supervision for testicular asymmetry. In addition, his parents claimed that the child was the tallest in the class with early secondary sexual features like acne, body hair, and pubic hair for more than two years, deepening of voice for less than a year, and erections for more than four months now.
Medical history No history of any CNS infection like tuberculosis, head trauma, or cranial irradiation No history of abdominal pain or abdominal distension No history of recent exaggerated skin pigmentation or salt craving No familial history of precocious puberty Physical examination Height – 160.5 cm, normal gait No icterus Acne – Distributed over the face Dense hair on all four limbs, with adult body odor Deep voice Puberty assessment – o G4 and PH4 o Axillary hair o Penile length of 8 cm Left…
