Rare Diseases Symptoms Automatic Extraction
Home
A random Abstract
Our Project
Our Team
The challenges in diagnosis and gender assignment in disorders of sex development presenting to a pediatric surgical unit in a developing country: The role of laparoscopy and simple tests for gender identity.
[congenital adrenal hyperplasia]
We
aimed
to
assess
how
the
diagnosis
and
determination
of
gender
identity
of
disorders
of
sex
development
(
DSD
)
is
different
in
a
developing
country
from
Western
medicine
,
and
whether
a
pediatric
surgery
department
can
determine
the
underlying
diagnosis
and
use
simple
tools
to
determine
the
likely
gender
identity
(
GI
)
.
We
reviewed
the
records
of
DSD
patients
admitted
to
the
Department
of
Pediatric
Surgery
,
Chittagong
Medical
College
&
Hospital
(
CMCH
)
,
Chittagong
,
Bangladesh
,
from
January
2006
to
December
2012
and
performed
a
cross-sectional
study
on
GI
and
gender-related
behavior
in
these
patients
during
the
year
2012
.
DSD
boys
and
girls
answered
a
GI
interview
and
had
their
gender
role
behavior
assessed
by
observations
of
structural
toy
play
and
analyzed
for
differences
in
scores
.
This
cohort
of
DSD
patients
presented
in
mid-childhood
(
6
months
-
16
years
,
mean
6
.
9
years
)
rather
than
infancy
,
and
30
%
came
from
consanguineous
unions
.
Congenital
adrenal
hyperplasia
(
CAH
)
constituted
only
11
of
50
(
22
%
)
of
the
DSD
cohort
,
and
not
all
families
had
access
to
steroid
hormone
replacement
.
A
simple
assessment
of
GI
and
gender-related
behavior
allowed
effective
gender
assignment
,
as
there
was
significant
difference
between
DSD
boys
and
girls
in
GI
and
gender-related
behavior
score
.
DSD
management
in
Bangladesh
provides
some
unique
challenges
because
of
limited
resources
.
A
national
reference
laboratory
for
biochemical
and
genetic
testing
and
development
of
a
quaternary
referral
center
for
DSD
patients
will
be
helpful
.
Continued
use
of
the
GI
interview
and
gender-related
behavior
study
will
enable
effective
interim
decisions
about
diagnosis
and
management
.
Diseases
Validation
Diseases presenting
"gender-related behavior study will enable effective interim decisions about diagnosis and management"
symptom
congenital adrenal hyperplasia
You can validate or delete this automatically detected symptom
Validate the Symptom
Delete the Symptom