Postinjection Muscle Fibrosis from Lupron

We describe the case of a 6.5-year-old girl with central precocious puberty (CPP), which signifies the onset of secondary sexual characteristics before the age of eight in females and the age of nine in males as a result of stimulation of the hypothalamic-pituitary-gonadal axis. Her case is likely r...

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Main Authors: Erica Everest, Laurie A. Tsilianidis, Nouhad Raissouni, Tracy Ballock, Terra Blatnik, Anzar Haider, Douglas G. Rogers, B. Michelle Schweiger
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2015/938264
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author Erica Everest
Laurie A. Tsilianidis
Nouhad Raissouni
Tracy Ballock
Terra Blatnik
Anzar Haider
Douglas G. Rogers
B. Michelle Schweiger
author_facet Erica Everest
Laurie A. Tsilianidis
Nouhad Raissouni
Tracy Ballock
Terra Blatnik
Anzar Haider
Douglas G. Rogers
B. Michelle Schweiger
author_sort Erica Everest
collection DOAJ
description We describe the case of a 6.5-year-old girl with central precocious puberty (CPP), which signifies the onset of secondary sexual characteristics before the age of eight in females and the age of nine in males as a result of stimulation of the hypothalamic-pituitary-gonadal axis. Her case is likely related to her adoption, as children who are adopted internationally have much higher rates of CPP. She had left breast development at Tanner Stage 2, adult body odor, and mildly advanced bone age. In order to halt puberty and maximize adult height, she was prescribed a gonadotropin releasing hormone analog, the first line treatment for CPP. She was administered Lupron (leuprolide acetate) Depot-Ped (3 months) intramuscularly. After her second injection, she developed swelling and muscle pain at the injection site on her right thigh. She also reported an impaired ability to walk. She was diagnosed with muscle fibrosis. This is the first reported case of muscle fibrosis resulting from Lupron injection.
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publishDate 2015-01-01
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series Case Reports in Pediatrics
spelling doaj-art-0f28f90af79e400a804bd9a7cc1325e92025-08-20T02:02:25ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/938264938264Postinjection Muscle Fibrosis from LupronErica Everest0Laurie A. Tsilianidis1Nouhad Raissouni2Tracy Ballock3Terra Blatnik4Anzar Haider5Douglas G. Rogers6B. Michelle Schweiger7Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USACleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USACleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USACleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USACleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USACleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USACleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USACleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USAWe describe the case of a 6.5-year-old girl with central precocious puberty (CPP), which signifies the onset of secondary sexual characteristics before the age of eight in females and the age of nine in males as a result of stimulation of the hypothalamic-pituitary-gonadal axis. Her case is likely related to her adoption, as children who are adopted internationally have much higher rates of CPP. She had left breast development at Tanner Stage 2, adult body odor, and mildly advanced bone age. In order to halt puberty and maximize adult height, she was prescribed a gonadotropin releasing hormone analog, the first line treatment for CPP. She was administered Lupron (leuprolide acetate) Depot-Ped (3 months) intramuscularly. After her second injection, she developed swelling and muscle pain at the injection site on her right thigh. She also reported an impaired ability to walk. She was diagnosed with muscle fibrosis. This is the first reported case of muscle fibrosis resulting from Lupron injection.http://dx.doi.org/10.1155/2015/938264
spellingShingle Erica Everest
Laurie A. Tsilianidis
Nouhad Raissouni
Tracy Ballock
Terra Blatnik
Anzar Haider
Douglas G. Rogers
B. Michelle Schweiger
Postinjection Muscle Fibrosis from Lupron
Case Reports in Pediatrics
title Postinjection Muscle Fibrosis from Lupron
title_full Postinjection Muscle Fibrosis from Lupron
title_fullStr Postinjection Muscle Fibrosis from Lupron
title_full_unstemmed Postinjection Muscle Fibrosis from Lupron
title_short Postinjection Muscle Fibrosis from Lupron
title_sort postinjection muscle fibrosis from lupron
url http://dx.doi.org/10.1155/2015/938264
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