Nazmi Mutlu KARAKAS, Beril ÖZDEMİR, Özlem AKBULUT

Sağlam Çocuk Polikliniğinde Prematür Telarş Olgularında Çevresel Maruziyet Değerlendirilmesi

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. 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. 28 kız çocuğu değerlendirildi ve ortalama yaş 2,3 (± 0,3) yıl idi. 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. 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 Kelimeler:

prematür telarş, çevre, bakım ürünleri

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

Backround: Breast development, without any signs of sexual maturation, in girls younger than 8 years is almost universally accepted as premature thelarche (PT). Prevalance and etiology are clearly unknown. Objectives: We designed a study to follow up girls who had unilateral or bilateral PT and to show regression after stopping care products. Material and Methods: The design of study was retrospective Children and their parents were enrolled into the study from September 2016 to February 2017. All children had one common symptom which was unilateral or bilateral breast development not associated with pubic or axillary hair, vaginal bleeding or other sign of sexual maturation, at the well child visit. In these children with no organic causes, monitoring was taken after stopping of care products. Result: 28 girls were evaluated and mean age was 2,3 years (± 0,3). Noone had a chronic disease. All cases identified as Tanner stage-2 and continued to have early breast development on follow-up. 18 (64,2%) girls had unilateral breast development. After stopping care products, both group had regression in six months. Conclusions: 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 these products. Families may use a minimum amount of care products for their children.

Keywords:

Premature Thelarche, envorimental, care products,

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