A 10-year and 9-month-old girl with the history of regular menstrual cycles was presented for progressive breast enlargement and menarche at seven years of age. Birth history: Full-term birth Born of nonconsanguineous marriage She was the first baby Normal vaginal delivery Weight at birth- 2.25 kilograms Development milestones- Normal Physical examination: Appetite: Normal Pallor, dry, scaly skin, and depressed nasal bridge Scholastic performance: Average Excessive somnolence, cold intolerance, or constipation: Absent Headache, visual symptoms, gelastic episodes, and vomiting: Absent Goiter: Absent Height: 114 cm Weight: 25 kg Pulse rate: 68/min Blood pressure: 98/60 mmHg Based on Tanner’s staging, the patient had a sexual maturation score of B4 for breast and P3 for pubic hair.
Axillary hair was present. Hematological examinations: Presence of normochromic anemia (Hemoglobin- 9.8 g/dl)…
