A 15 month female infant is brought in for a WCC and is noted to have breast buds. Genitalia is Tanner 1.You should:
a. order estrogen/progesterone and gonadotropin levels
b. order heat CT
c. order head MRI
d. reassure mom this is a benign process
In a 15-month-old female infant with breast buds and Tanner 1 genitalia, the appropriate initial action is:
D. Reassure mom this is a benign process
Early breast development in an infant, often termed “precocious puberty,” can sometimes occur and may be due to benign conditions like premature thelarche, which is isolated breast development without other signs of puberty. In the absence of other signs of puberty or additional symptoms, it is typically not a cause for concern. Further evaluation, including hormone levels or imaging, is generally reserved for cases where there are additional signs of premature sexual development or other concerning symptoms.