Dhivyalakshmi, JeevarathnamBhattacharyya, ShailaReddy, RajeshwariArulselvi, K I2016-01-252016-01-252014-10Dhivyalakshmi Jeevarathnam, Bhattacharyya Shaila, Reddy Rajeshwari, Arulselvi K I. Precocious Pseudopuberty due to Ovarian Causes. Indian Pediatrics. 2014 Oct; 51(10): 831-833.http://imsear.searo.who.int/handle/123456789/170859Background: It is important to differentiate central from peripheral causes of precocious puberty because of distinct management options. Case Characteristics: 4 girls with discordant pubertal development. Observations: All had low basal and GnRHa stimulated FSH & LH level with high estradiol level. Abdominal ultrasonogram helped in diagnosing precocious pseudopuberty- ovarian cyst in 3 children and juvenile granulosa cell tumour in one. Outcome: Case 1 and 4 underwent surgery in view of persistent cyst and tumor, respectively. Rest were managed conservatively. Regression of pubertal signs observed in all children during follow-up. Conclusion: Precocious pseudopuberty can be differentiated from central precocious puberty by GnRHa Stimulation test, bone age and abdominal ultrasound.enGnRHa stimulation testJuvenile granulosa cell tumorOvarian cystArticle