Changes in carotid artery sonogram in premature adrenarche

J Pediatr Endocrinol Metab. 2012;25(1-2):139-45. doi: 10.1515/jpem.2011.411.

Abstract

Background: Premature adrenarche (PA), the appearance of pubic hair before the age of 8 years in girls and before 9 years in boys, may predict future morbidity, such as metabolic syndrome (MS).

Objective: The purpose of this study is to assess carotid artery ultrasound changes in children with PA.

Design/methods: PA children were matched with a group of prepubertal controls without PA. Subjects and controls underwent clinical and biochemical evaluation and sonograms of the carotid arteries.

Results: Twelve children with PA and their matched controls were studied. Carotid artery ultrasonography showed elevation of the inner and outer diameter of the left carotid, and the cross-sectional area of the lumen and outer wall, and the outer diameter of the right carotid artery in PA. However, none of the above results maintained statistical significance when a Hochberg correction was applied.

Conclusions: Carotid artery diameter and cross-sectional area may be useful non-invasive markers of vascular pathology and MS in premature pubarche.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenarche*
  • Atherosclerosis / diagnosis
  • Atherosclerosis / etiology
  • Carotid Arteries / diagnostic imaging
  • Carotid Intima-Media Thickness*
  • Child
  • Female
  • Humans
  • Insulin Resistance
  • Male
  • Metabolic Syndrome / etiology
  • Puberty, Precocious / diagnostic imaging
  • Puberty, Precocious / metabolism
  • Puberty, Precocious / pathology*