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11-year old boy with facial hair, acne and deepened voice
  1. Fatimah Ahmed1,
  2. Daniel Zeve2,
  3. Kate Millington2 and
  4. Corinna Rea3,4
  1. 1 Boston Children’s Hospital, Boston, Massachusetts, USA
  2. 2 Endocrinology, Boston Children’s Hospital, Boston, Massachusetts, USA
  3. 3 Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts, USA
  4. 4 General Pediatrics, Boston Children’s Hospital, Boston, Massachusetts, USA
  1. Correspondence to Dr Fatimah Ahmed, fzahmed91{at}


11-year old twin boy found to have idiopathic precocious puberty after routine well-child examination revealed discordant pubertal growth between the two brothers.

  • paediatrics
  • endocrinology

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  • Contributors FA drafted the original version of the case report and received direct input from all coauthors listed in regards to edits in the manuscript. Each author provided his/her own edits and FA discussed edits extensively with all coauthors. All authors gave permission for final submission. DZ met with FA in person and communicated via email to make edits to the original case report. He provided edits in regards to structure of case report, and particularly discussion and provided additional references which were utilised by FA and cited in the report. KM communicated with FA via email and provided direct edits to the case report in regards to formatting and also provided additional edits in the discussion portion. She also provided additional reference articles that FA cited in the discussion portion. CR provided the original idea for the written report of this interesting patient case and communicated with FA via email and provided edits to the case report which FA incorporated into the final report. These including edits in grammar, wording and formatting of the report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.