Pediatric Premature Adrenarche (PA)

Pediatric premature adrenarche (PA) is the early appearance of pubic hair before it normally occurs.

What is Pediatric Premature Adrenarche (PA)?

Puberty typically occurs between the ages of 10 and 14 for girls. If a child has premature adrenarche, changes occurs prior to age 8 when the adrenal gland starts producing hormones.

What are the signs and symptoms of Pediatric Premature Adrenarche (PA)?

  • Body odor, especially in the armpits
  • Oily skin
  • Pubic hair growth
  • Unexplained and rapid growth (often above the 90th%)

*Age of puberty is middle childhood to teenage years as defined by the Center for Disease Control (CDC).

How is Pediatric Premature Adrenarche (PA) diagnosed?

Your doctor will order blood hormone levels and check and x-ray of the hand and wrist to determine if this is a normal variant or if treatment for precocious puberty is warranted

What are the causes of Pediatric Premature Adrenarche (PA)?

The exact cause of premature adrenarche is often unknown. It can be a symptom of a condition that causes a hormonal imbalance, such as:

Pediatric Premature Adrenarche (PA) Doctors and Providers