Abstract
Puberty is considered precocious when there is the development of secondary sexual characteristics before 8 years of age in girls and, before 9 years of age, in boys. Etiologically, it can be classified into (1) central precocious puberty (CPP), resulting from premature reactivation of the hypothalamic-pituitary-gonadal axis, (2) precocious peripheral puberty, which results from inappropr…