3.30 MB - Academy of Medicine of Malaysia

Appendix 5
TANNER STAGING IN ADOLESCENTS
Other
changes
Breast
growth
Age range
(years)
Stage
Pre-adolescent
Pre-adolescent
0-15
I
Not applicable
Female Male
Pubic hair
Other Age range Testes
Penis
Public hair
growth
changes (years) growth
growth
growth
None
Pre-adolescent 0-15 Pre-adolescent Pre-adolescent None
testes (2.5cm)
Peak growth 10-15 Enlargement of Minimal or no Long downy pubic
velocity often
testes;
enlargement hair, often appearing
occurs soon after
pigmentation of
several months after
stage II
scrotal sac
testicular growth;
variable pattern
noted with pubarche
Long downy pubic
hair near the labia,
often appearing with
breast budding at
several weeks or
months later
Breast budding
(thelarche);
areolar hyperplasia
with small amount
of breast tissue
8-15
II
MANAGEMENT OF HIV INFECTION IN CHILDREN
Not applicable
Increase in amount
curling
Significant
enlargement,
espacially in
diameter
IFurther
enlargement
10.5-16.5
Menarche occurs
in 2% of girls late
in stage III
Increase in amount
and pigmentation of
hair
Further enlargement
of breast tissue and
areola, with no
separation of their
contours
10-16
III
80
Adult in type but not
in distribution
Further
enlargement
especially in
diameter
Further
enlargement
Variable
12-17
Menarche occurs
in most girls in
stage IV, 1-3
years after
thelarche
Adult in type but not
in distribution
Separation of
contours; areola
and nipple form
secondary mound
above breast tissue
10-17
IV
Body hair
continues to
grow and
muscles continue
to increase in
size for several
months to years;
20% of boys
reach peak
growth velocity
during this period
Adult in distribution
(medial aspects of
thighs; linea alba)
Adult in size
Adult in size
13-18
Menarche occurs
in 10% of girls in
stage V
Adult in distribution
Large breast with
single contour
12.5-18
V