Postinjection Muscle Fibrosis from Lupron
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Case Presentation
A six-year-eleven-month-old female presented to the Pediatric Endocrinology Clinic with signs of early puberty. Her mother noticed her daughter having adult body odor two months prior and development of her left breast (Tanner Stage 2) one month prior to the appointment. The patient denied any vaginal bleeding or discharge. She also denied pubic and axillary hair development, as well as any acne. Review of systems revealed increased thirst, while her physical exam was unremarkable. Her height and weight were at the 64th percentile for her age. This is an increase from the 14th percentile at the age of four, at which time she was adopted internationally. An X-ray to determine bone age was performed and showed bones between seven years ten months and eight years ten months of age by standards of Greulich and Pyle....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458552/
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