Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics

aydın, beril; AKBULUT, Özlem; KARAKAŞ, NAZMİ MUTLU

doi:10.12956/tchd.681262

Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics

Nazmi Mutlu KARAKAŞ, (Gazi Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Beril ÖZDEMİR, (Başkent Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Özlem AKBULUT (Başkent Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Ankara, Türkiye)

Türkiye Çocuk Hastalıkları Dergisi

6 0

Yıl: 2020 Cilt: 14 Sayı: 3 Sayfa Aralığı: 207 - 210 Metin Dili: İngilizce DOI: 10.12956/tchd.681262 İndeks Tarihi: 26-07-2021

Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics

Öz:

Objective: Breast development, without any signs of sexual maturation, in girls younger than 8 years is almostuniversally accepted as premature thelarche (PT). Prevalance and etiology are clearly unknown.We designed a study to follow up girls who had unilateral or bilateral PT and to show regression after stopping careproducts.Material and Methods: The design of study was retrospective Children and their parents were enrolled into the studyfrom September 2016 to February 2017. All children had one common symptom which was unilateral or bilateral breastdevelopment not associated with pubic or axillary hair, vaginal bleeding or other sign of sexual maturation, at the wellchild visit. In these children with no organic causes, monitoring was taken after stopping of care products.Results: Twenty-eight girls were evaluated, and mean age was 2.3 years (±0.3). Noone had a chronic disease. Allcases identified as Tanner stage-2 and continued to have early breast development on follow-up. 18 (64.2%) girls hadunilateral breast development. After stopping care products, both groups had regression in six months.Conclusion: Currently there are no predictive tests to show the risk of breat development of early or puberty precoccus.Children may be exposed to much more diagnostic tests because of overuse products. Physician must be aware of theseproducts. Families may use a minimum amount of care products for their children

Anahtar Kelime:

Sağlam Çocuk Polikliniğinde Prematür Telarş Olgularında Çevresel Maruziyet Değerlendirilmesi

Öz:

Amaç: Sekiz yaşından küçük kız çocuklarında cinsel olgunlaşma belirtisi olmadan meme gelişimi, neredeyse evrensel olarak prematür telarş (PT) olarak kabul edilir. Prevelans ve etiyoloji açıkça bilinmemektedir. Çalışmamızda, unilateral veya bilateral PT olan kız çocuklarını izlemini yapmak ve bakım ürünlerini kullanmayı bıraktıklarındaki gerilemeyi göstermeyi amaçladık. Gereç ve Yöntemler: Çalışma retrospektif planlandı. Eylül 2016 ile Şubat 2017 tarihleri arasında izlemde olan prematür telarş tanısı almış çocuklar ve ebeveynleri çalışmaya dahil edildi. Sağlam çocuk izleminde olan pubik veya aksiller kıllanma, vajinal kanama veya diğer cinsel olgunlaşma bulgusu ile ilişkisi olmayan unilateral veya bilateral meme gelişimi olan tüm çocukların tek semptomu vardı. Organik bir neden saptanmayan bu çocuklarda, bakım ürünleri kesildikten sonra izleme alındı. Bulgular: Yirmisekiz kız çocuğu değerlendirildi ve ortalama yaş 2.3 (± 0.3) yıldı. Çocukların kronik hastalığı yoktu. Tüm vakalar Tanner evre 2 olarak tanımlandı ve erken meme gelişimi nedeniyle takibe alındı. 18 (%64.2) kız çocuğun unilateral meme gelişimi vardı. Bakım ürünleri kullanmayı kestikten sonra, unilateral ve bilateral meme gelişimi olan çocuklarda 6 ay içinde gerileme oldu.Sonuç: Günümüzde, PT ve Puberte prekoks veya erken meme gelişimi riskini gösteren herhangi bir öngörücü test yoktur. Çocukların, bakım ürün kullanımı nedeniyle birçok teste maruz kalabilir. Klinisyenler bu türlü ürünler yönünden dikkatli olmalıdırlar. Aileler çocukları için bakım ürünlerinin kullanım miktarını asgari düzeyde tutabilirler.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KARAKAŞ N, aydın b, AKBULUT Ö (2020). Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. , 207 - 210. 10.12956/tchd.681262
Chicago	KARAKAŞ NAZMİ MUTLU,aydın beril,AKBULUT Özlem Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. (2020): 207 - 210. 10.12956/tchd.681262
MLA	KARAKAŞ NAZMİ MUTLU,aydın beril,AKBULUT Özlem Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. , 2020, ss.207 - 210. 10.12956/tchd.681262
AMA	KARAKAŞ N,aydın b,AKBULUT Ö Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. . 2020; 207 - 210. 10.12956/tchd.681262
Vancouver	KARAKAŞ N,aydın b,AKBULUT Ö Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. . 2020; 207 - 210. 10.12956/tchd.681262
IEEE	KARAKAŞ N,aydın b,AKBULUT Ö "Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics." , ss.207 - 210, 2020. 10.12956/tchd.681262
ISNAD	KARAKAŞ, NAZMİ MUTLU vd. "Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics". (2020), 207-210. https://doi.org/10.12956/tchd.681262

APA	KARAKAŞ N, aydın b, AKBULUT Ö (2020). Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. Türkiye Çocuk Hastalıkları Dergisi, 14(3), 207 - 210. 10.12956/tchd.681262
Chicago	KARAKAŞ NAZMİ MUTLU,aydın beril,AKBULUT Özlem Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. Türkiye Çocuk Hastalıkları Dergisi 14, no.3 (2020): 207 - 210. 10.12956/tchd.681262
MLA	KARAKAŞ NAZMİ MUTLU,aydın beril,AKBULUT Özlem Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. Türkiye Çocuk Hastalıkları Dergisi, vol.14, no.3, 2020, ss.207 - 210. 10.12956/tchd.681262
AMA	KARAKAŞ N,aydın b,AKBULUT Ö Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. Türkiye Çocuk Hastalıkları Dergisi. 2020; 14(3): 207 - 210. 10.12956/tchd.681262
Vancouver	KARAKAŞ N,aydın b,AKBULUT Ö Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics. Türkiye Çocuk Hastalıkları Dergisi. 2020; 14(3): 207 - 210. 10.12956/tchd.681262
IEEE	KARAKAŞ N,aydın b,AKBULUT Ö "Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics." Türkiye Çocuk Hastalıkları Dergisi, 14, ss.207 - 210, 2020. 10.12956/tchd.681262
ISNAD	KARAKAŞ, NAZMİ MUTLU vd. "Envorinmental Exposure Assessment in Premature Thelarche Cases in the Well-Child Outpatient Clinics". Türkiye Çocuk Hastalıkları Dergisi 14/3 (2020), 207-210. https://doi.org/10.12956/tchd.681262