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INSERM Unité 1203 (DEFE), Université de Montpellier, Montpellier, France
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Département d'Endocrinologie et de Gynécologie Pédiatrique, Hôpital Arnaud de Villeneuve, Université de Montpellier, Montpellier, France
INSERM Unité 1203 (DEFE), Université de Montpellier, Montpellier, France
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. Pubertal development was assessed using the pubic hair (P) and breast (B) development stages 1–5 of the Tanner scale ( 21 ). Hirsutism was quantified using the modified Ferriman–Gallwey (FG) scoring system that includes nine androgen-sensitive body areas
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subsequent production of sex steroids, non-steroidal factors and gametes ( 1 , 2 ). Although the HPG axis awakens in late childhood, the external signs of pubertal maturation: early breast development (Tanner stage II) and an increase in testicular volume
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Department of Endocrinology at Sahlgrenska University Hospital, Gothenburg, Sweden
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illustrated for genetic testing in hereditary breast cancer ( 42 , 43 ). Both VUS and incidental findings have the potential to create confusion for patients and their families, as well as for clinicians. VUS represent genetic variants for which the
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missense mutations of the p53 gene ( 30 ). Carriers of the founder R337H mutant allele have an increased risk of developing adrenocortical tumours and other types of malignancies, including breast carcinoma, soft-tissue sarcoma, osteosarcoma, choroid
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psychiatric evaluation Schooling orientation Family and caregivers evaluation Inducing puberty is necessary for most men with PWS, and many or most women with PWS undergo spontaneous breast development perhaps due to peripheral
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(ocular hypertelorism, low nose bridge, flapping ear, ptosis), chicken breast, lumbar lateral curvature, brachydactylia, pulmonic stenosis, atrial septal defect, patent foramen ovale, lymphangioma of right lower limb NM_006912.6 RIT1 c.170C>G, p.Ala57