PEDIATRICS Vol. 101 No. 5 May 1998, pp. 949-950
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To the Editor.
The study by Herman-Giddens and associates on "Secondary Sexual Characteristics and Menses in Young Girls seen in Office Practice" in the April 1997 issue is a welcome addition to normative data on the growth of children in this country.1 It illustrates the importance of developing normative data from all racial groups. It is also a good example of the types of studies that can be done by combining samples from many different practice settings.
Our general pediatric clinic has enrolled a large number of East
African immigrant children as well as African-American children. We
frequently see