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OCR: drogens Some children have elevated adrenal a drenarche years before the normal age of onset of a some and experience pubic hair development le acne axillary hair development, and even so ormal years before the normal age of onset of r ation of the puberty; this is apparently a normal var With the 1 adrenal normal onset of adrenarche (Fig. 13.40). recent description of late-onset congenit etermine hyperplasia, it is sometimes difficult to ture whether the patient has bona fide prem that is adrenarche or another genetic conditior In affecting the adrenal gland. Nonetheless d to earlier premature adrenarche DHEAS is elevate mosis of midpubertal levels, and is useful for dia conc