It is possible that signs of advanced puberty appear due to another underlying medical problem rather than CPP. For example, medical researchers have discovered that children with tumors or other serious health issues can develop CPP-like symptoms. Doctors need to eliminate this possibility when they come across a new CPP case. No links appear between CPP and other illnesses in the vast majority of cases. Doctors continue to be mystified over what triggers CPP, and why girls and adopted children seem to face slightly higher risks.
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