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Flowchart of the distribution of diagnoses according to pre-pubertal vs post-pubertal status in 487 children who underwent simultaneous measurement of serum DHEAS, A4 and testosterone. ACC, adrenocortical carcinoma; CAH, congenital adrenal hyperplasia; CD, Cushing’s disease; cPP, central precocious puberty; IPM, isolated premature menarche; PA, premature adrenarche; PCOS, polycystic ovary syndrome.
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