Premature Adrenarche (Boys) Referral Guidelines

Boys under 7 Years

Clinical Findings

Boys < 7 years with one or more of the following signs: pubic hair, axillary hair, body odor, penile enlargement, accelerated growth; but NO testicular enlargement (< 4 ml or
< 2.5 cm)

Referral Timeframe

URGENT: Call MD on-call to discuss and start treatment.
On-Call Phone #
Day: (512) 628-1830
After Hours: (512) 323-5465

Pre-Referral Workup

  • Bone age
  • 8am 17-HydroxyProgesterone (CPL 4304, Esoterix 500270, LabCorp 500163)
  • Pediatric Testosterone (CPL 2833, Esoterix 500286, LabCorp 500159)
  • DHEAS(CPL 4225, Esoterix 500116, LabCorp 500156)
  • Pediatric LH (CPL 2776, Esoterix 500234, Lab Corp 502286)
  • Pediatric FSH (CPL 2700, Esoterix 500192, LabCorp 502280)

Referral Requirements

  • Growth chart
  • Bone age results- Please have parent bring a copy of film/CD to appointment.
  • Lab results
  • Relevant clinical notes with physical examination including Tanner stage.

Boys 7-8 Years

Clinical Findings

Boys 7-8 years with one or more of the above signs AND accelerated growth

Referral Timeframe

URGENT: Call MD on-call to discuss and start treatment.

Pre-Referral Workup

Same as above

Referral Requirements

Same as above

Clinical Findings

Boys 7 – 8 years with one or more of the above signs, but NO accelerated growth

Referral Timeframe

Routine

Pre-Referral Workup

Same as above

Referral Requirements

Same as above