Labels:integrated circuit | paper | sky OCR: DIAGNOSIS OF THE CAUSES OF PREMATURE ANDRENARCHE any other signs of significant yes virilisation (for example acne, increased height velocity voice change or muscle development, penile or testicular consider other causes enlargement in boys, sexual precocity clitoral enlargement in giris)? serum DHEAS compatible with exceptionally high not very elevated but pubic hair stage 17a-hydroxyprogesterone IS elevated basal or ACTH-stimulated state premature consider adrenal adrenarche tumour or ap-hydroxylase late onset deticiency 21 hydroxylase deticiency conside othel ipubic nair stage2 stimulatec
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