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2013, Number 3

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Rev Mex Pediatr 2013; 80 (3)

Care clinic proposal in infants born with ambiguous genitalia

Orozco RDP, Braverman BA, Raya RAM, Zafra DG, Iglesias LJ, Antillón FCA

Language: Spanish
References: 15
Page: 118-122
PDF size: 68.99 Kb.


ABSTRACT

Ambiguous genitalia is a term used to describe a patient in whose general inspection and complete physical evaluation, gender assignment as male or female is not possible. It can be classified according to its etiology as genetic or embrionary defects with phenotypical effect. Ambiguous genitalia is generally seen in newborns and its considered a medical, psychological and social emergency, leading to the importance of an early diagnosis.
In the period of 15 months, between 2010 and 2011 were born in the hospital for three children with ambiguous genitalia, but doing a review on this topic, we thought it was desirable to have a protocol to be followed in the management of these children; This was the way in which we believe, that this would be multidisciplinary, for joining the experiences between the specialists in the diagnosis of this malformation; to decide the steps to be followed in these children


REFERENCES

  1. Lambert SM, Vilain MJ, Kolon TF. A practical approach to ambiguous genitalia in the newborn period. Urol Clin N Am 2010; 37(2010): 195-205.

  2. Ahmed SF, Rodie M. Investigation and initial management of ambiguous genitalia. Best Pract Res Clin Endocrinol Metab 2010; 24: 197-221.

  3. Cohen-Kettenis PT. Psychosocial and psychosexual aspects of disorders of sex development. Best Pract Res Clin Endocrinol Metab 2010; 24: 325-344.

  4. Pasterski V, Prentice P, Hughes IA. Impact of the consensus statement and the new DSD classification system. Best Pract Res Clin Endocrinol Metab 2010; 24(2): 187-195.

  5. Lee MM, Donahoe PK. The infant with ambiguous genitalia. Curr Ther Endocrinol Metab 1997; 6: 216-223.

  6. Erdoğan S, Kara C, Uçaktürk A, Aydin M. Etiological Classification and Clinical Assessment of Children and Adolescents with Disorders of Sex Development. J Clin Res Pediatr Endocrinol 2011; 3(2): 77-83.

  7. Feldman KW, Smith DW. Phalic grotwh and penile standards for newborn male infants. J Pediatr 1975; 86(3): 395-398.

  8. Hughes IA, Houk CP, Ahmed SF, Lee PA, LWPES1/ESPE2 Consensus Group. Consensus statement on management of intersex disorders. International consensus conference on intersex. Pediatrics 2006; 118(2): E488-500.

  9. Davidoff F, Federman DD. Mixed gonadal disgenesys. Pediatrics 1973; 52(5): 725-742.

  10. Phillip M, De Boer C, Pilpel D, Karplus M, Sofer S. Clitoral and Penile sizes of full term newborns in two different ethnic groups. J Pediatr Endocrinol Metab 1996; 9(2): 175-179.

  11. Oberfield SE, Mondok A, Shahrivar F, Klein JF, Levine LS. Clitoral size in full term infants. Am J Perinatol 1989; 6(4): 453-454.

  12. Riley WJ, Rosenblum AL. Clitoral size in infancy. J Pediatrics 1980; 96(5): 918-919.

  13. Sudphen RH, Galan GE, Cousseff BG. Clitoromegaly in neurofibromatosis. Am J Med Genet 1995; 55(3): 325-330.

  14. Quigley CA, De Bellis A, Marschke KB, el-Awady MK, Wilson EM, French FS. Androgen receptor defects: historical, clinical and molecular perspectives. Endocr Rev 1995; 16(3): 271-321.

  15. Calegari C, Everett S, Ross M, Brasel JA. Ano-genital ratio: Messure of fetal virilization in premature and fullterm newborn infants. J Pediatrics 1987; 111(2): 240-243.




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