early Andrenache

6 yo G with diagnosed with Early Adrenarche.

This is a family friend whose daughter 1st presented with axillary odour and a few spots/acne. After some tests the pediatric endocronologist diagnosed the early Andrenache with elevated DHEA-S. Ruled out congenital adrenal hyperplasia but told the mother to be prepared for pubic hair. Wrist Xray showed bone age of…