{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T22:19:00Z","timestamp":1759529940366},"reference-count":60,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2005,10,27]],"date-time":"2005-10-27T00:00:00Z","timestamp":1130371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2005,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the characteristics of obese girls with gonadotropin releasing hormone\u2010dependent precocious puberty with and without polycystic\u2010like ovaries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010seven overweight (&gt; 75<jats:sup><jats:italic>th<\/jats:italic><\/jats:sup> centile of the Italian reference data) girls with a diagnosis of isosexual precocious puberty underwent auxological analysis, hormonal assay and utero\u2010ovarian sonographic and Doppler evaluation. On the basis of sonography the patients were subdivided into two groups, girls presenting normal ovaries (Group I; <jats:italic>n<\/jats:italic> = 31) and those with polycystic\u2010like ovaries (Group II; <jats:italic>n<\/jats:italic> = 16).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean body weight was significantly higher (<jats:italic>P<\/jats:italic> = 0.003) in Group II than it was in Group I. In addition, the patients with polycystic\u2010like ovaries fell within our definition of superobese (\u2265 97<jats:sup><jats:italic>th<\/jats:italic><\/jats:sup> centile of the Italian reference data) in 44% of cases. The uterine and ovarian volumes were significantly greater in Group II compared with Group I patients. The Doppler evaluation showed intraparenchymal ovarian vascularization and low downstream impedance to flow in all patients in Group II.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Girls with precocious puberty and polycystic ovaries, compared with those without polycystic ovaries, have a higher incidence of body weight exceeding the 85<jats:sup><jats:italic>th<\/jats:italic><\/jats:sup> centile of the Italian reference data (obesity). Copyright \u00a9 2005 ISUOG. 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