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Review
. 2021 Dec;95(6):818-840.
doi: 10.1111/cen.14528. Epub 2021 Jun 22.

Society for Endocrinology UK Guidance on the initial evaluation of a suspected difference or disorder of sex development (Revised 2021)

S Faisal Ahmed  1   2   3 , John Achermann  4 , Julie Alderson  5 , Naomi S Crouch  6 , Sue Elford  7 , Ieuan A Hughes  8   9 , Nils Krone  10 , Ruth McGowan  1   11 , Talat Mushtaq  12 , Stuart O'Toole  2   13 , Leslie Perry  14 , Martina E Rodie  2   3   15 , Mars Skae  16 , Helen E Turner  17
Affiliations
Free article
Review

Society for Endocrinology UK Guidance on the initial evaluation of a suspected difference or disorder of sex development (Revised 2021)

S Faisal Ahmed et al. Clin Endocrinol (Oxf). 2021 Dec.
Free article

Abstract

It is paramount that any child or adolescent with a suspected difference or disorder of sex development (DSD) is assessed by an experienced clinician with adequate knowledge about the range of conditions associated with DSD and is discussed with the regional DSD service. In most cases, the paediatric endocrinologist within this service acts as the first point of contact but involvement of the regional multidisciplinary service will also ensure prompt access to specialist psychology and nursing care. The underlying pathophysiology of DSD and the process of delineating this should be discussed with the parents and affected young person with all diagnostic tests undertaken in a timely fashion. Finally, for rare conditions such as these, it is imperative that clinical experience is shared through national and international clinical and research collaborations.

Keywords: DSD; genitalia; gonads; puberty.

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References

REFERENCES

    1. Rey R, Josso N, Racine C. Sexual differentiation. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dungan K, Grossman A, Hershman JM, Hofland HJ, Kaltsas G, Koch C, Kopp P, Korbonits M, McLachlan R, Morley JE, New M, Purnell J, Singer F, Stratakis CA, Trence DL, Wilson DP, eds. Endotext [Internet]. MDText.com, Inc.; 2020:2000.
    1. Hughes IA, Houk C, Ahmed SF. Lee PA and the LWPES/ESPE Consensus Group. Consensus statement on management of intersex disorders. Arch Dis Child. 2006;91:554-563.
    1. Hiort O, Cools M, Springer A, et al. COST Actions DSDnet and GnRH Network as well as the European Reference Network for Rare Endocrine Conditions (Endo-ERN). Addressing gaps in care of people with conditions affecting sex development and maturation. Nat Rev Endocrinol. 2019;15:615-622.
    1. Ahmed SF, Achermann JC, Arlt W, et al. UK guidance on the initial evaluation of an infant or an adolescent with a suspected disorder of sex development. Clin Endocrinol (Oxf). 2011;75:12-26.
    1. Ahmed SF, Achermann JC, Arlt W, et al. Society for Endocrinology UK guidance on the initial evaluation of an infant or an adolescent with a suspected disorder of sex development (Revised 2015). Clin Endocrinol (Oxf). 2016;84(5):771-788. https://doi.org/10.1111/cen.12857

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