Labels:text | screenshot | black and white | black | font | document OCR: status With increased growth velocity, puber present, should be assessed. If signs of puberty ar tion, this together with accelerated skeletal matur should be investigated. Precocious sexu entiated development (Fig. 14.32) should be diffe cessive from pseudoprecocious puberty where Its from a androgen and oestrogen production res or to tumour in the ovary, testis, or adrenals, lous congenital adrenal hyperplasia. In precc uration are puberty, the linear growth and bone ma age, advanced, and height is often above ave duced. although the final height is likely to be See later: . GH Excess and Tall Stature Hyperthyroidism and Tall Stature