Rapidly Progressing Early Puberty in a Boy with Bilateral Basal Ganglia Germinoma and TREX1 Variant

AuthorJihyun Haen
AuthorSeonkyeong Rhieen
AuthorKyu Young Chaeen
AuthorEun-Gyong Yooen
AuthorHye Jeong Choien
AuthorGo Hun Seoen
AuthorMo Kyung Jungen
OrcidJihyun Ha [0000-0003-1804-6595]en
OrcidSeonkyeong Rhie [0000-0003-3371-8310]en
OrcidKyu Young Chae [0000-0003-3243-5853]en
OrcidEun-Gyong Yoo [0000-0002-6452-655X]en
OrcidHye Jeong Choi [0000-0002-4103-769X]en
OrcidGo Hun Seo [0000-0003-1518-1791]en
OrcidMo Kyung Jung [0000-0001-5904-4946]en
Issued Date2020-10-04en
AbstractIntroduction: Organic lesions, including brain tumors, should be suspected in boys with precocious puberty. However, it is not usually suspected in children with early puberty. Case Presentation: Here we present an extremely rare case of rapidly progressing early puberty with basal ganglia germinoma coupled with three-prime repair exonuclease 1 (TREX1) variant. This was a 10-year-old-boy with borderline mental retardation and rapidly progressing puberty. Physical examination revealed 10 mL testes (Tanner stage 3 for genital development), and his bone age was that of a 12-year old boy. Laboratory findings showed abnormally elevated serum β-human chorionic gonadotropin (23.0 mIU/mL; reference, 0-10 mIU/mL), and suppressed LH level ( Conclusions: This is the first case report of rapidly progressing early puberty caused by germinoma of bilateral basal ganglia associated with pathogenic variant of TREX1.en
DOIhttps://doi.org/10.5812/ijp.105079en
KeywordPrecocious Pubertyen
KeywordBasal Gangliaen
KeywordGerminomaen
KeywordThree Prime Repair Exonuclease 1 (<i>TREX1</i>)en
PublisherBrieflandsen
TitleRapidly Progressing Early Puberty in a Boy with Bilateral Basal Ganglia Germinoma and TREX1 Varianten
TypeCase Reporten

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