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OCR: eight years of age ted (Fig. 13.39). Breast enlargement in girls is relatively common and se tly occurs in girls Premature thelarche most fre ys before four by two years of age and almo st development years of age. In most cases, th nset, but in some sis. Long-term will regress within six month rd effects occur cases remains for years after follow-up suggests that no ur ature thelarche ovarian cyst, but on later health. The cause of may be the development of a Lysical usually by the time the outw as regressed and manifestations are noted, the udies have no laboratory tests are indica e a potential shown elevation of FSH leve atients do not This is a benign cause of premature thelarche treated with manifest a true pubertal GnR self-limited disorder and sho Sureinssea