A clinical approach to diagnosis of ambiguous genitalia
Title: | A clinical approach to diagnosis of ambiguous genitalia |
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Authors: | Kashish Khanna, Shilpa Sharma, Devendra K Gupta |
Source: | Journal of Indian Association of Pediatric Surgeons, Vol 24, Iss 3, Pp 162-169 (2019) |
Publisher Information: | Wolters Kluwer Medknow Publications, 2019. |
Publication Year: | 2019 |
Collection: | LCC:Pediatrics LCC:Surgery |
Subject Terms: | Clinical features, differences in sex development, discordant, disorders of sex development, genital ambiguity, intersex, sex differentiation, Pediatrics, RJ1-570, Surgery, RD1-811 |
More Details: | Disorders of sex development (DSD) are a sensitive and stressful condition for the family as well as the treating physician to deal with. The main issue in managing such cases is sex assignment. The decision is influenced by the cultural background, the sex of rearing, clinical features, the biochemical parameters including hormonal studies, the imaging reports, parental preference, fertility potential, and the assessment of mental make-up of the child when possible. In third world countries, there is diagnostic dilemma as most children with DSD present late and a detailed-lengthy work-up often delay their definitive treatment. In this article, the authors try to identify the important clinical features in children presenting with various types of DSD, which may aid in making a quick provisional clinical diagnosis and expediting the diagnostic work-up. The data have been gathered from 38 years of experience of the senior author while managing about 1200 cases of DSD in the pediatric intersex clinic at the tertiary care level institute. |
Document Type: | article |
File Description: | electronic resource |
Language: | English |
ISSN: | 0971-9261 1998-3891 |
Relation: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2019;volume=24;issue=3;spage=162;epage=169;aulast=Khanna; https://doaj.org/toc/0971-9261; https://doaj.org/toc/1998-3891 |
DOI: | 10.4103/jiaps.JIAPS_70_18 |
Access URL: | https://doaj.org/article/c4356048ae4d4d39892393716487c3fe |
Accession Number: | edsdoj.4356048ae4d4d39892393716487c3fe |
Database: | Directory of Open Access Journals |
ISSN: | 09719261 19983891 |
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DOI: | 10.4103/jiaps.JIAPS_70_18 |
Published in: | Journal of Indian Association of Pediatric Surgeons |
Language: | English |