volume 99, issue 4, P505-512 1997
DOI: 10.1542/peds.99.4.505
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M. E. Herman-Giddens, E. J. Slora, R. C. Wasserman, C. J. Bourdony, M. V. Bhapkar, G. G. Koch, C. M. Hasemeier

Abstract: These data suggest that girls seen in a sample of pediatric practices from across the United States are developing pubertal characteristics at younger ages than currently used norms. Practitioners may need to revise their criteria for referral of girls with precocious puberty, with attention to racial differences.