ea0017p23 | (1) | BSPED2008
Kumaran A
, Chan LF
, Martin L
, Afshar F
, Matson M
, Plowman PN
, Monsoon JP
, Besser GM
, Grossman AB
, Savage MO
, Storr HL
Cushings disease (CD) is very rare in prepubertal children, and remains a challenge to diagnose and manage. We review the diagnostic features and therapeutic outcome of prepubertal (defined as testicular volume <4 ml (M) and breast stage <2 (F)) CD patients treated in a single centre. Fifteen prepubertal patients (median age 9.4 years; range 5.813.7) fulfilled standard diagnostic criteria for CD and there was male preponderance (12 M (80%), median age 9.1 y...