Sex Chromosome Rearrangement Associated With Hormonal Abnormalities and Gender Dysphoria.

Autor: Cordner ZA, Mu W, Schmidt CW, Kraft C, Thomas K
Jazyk: angličtina
Zdroj: Journal of psychiatric practice [J Psychiatr Pract] 2023 Jan 01; Vol. 29 (1), pp. 71-76. Date of Electronic Publication: 2023 Jan 01.
DOI: 10.1097/PRA.0000000000000679
Abstrakt: Although disorders arising from sex chromosome and sex steroid abnormalities are well characterized from the perspectives of endocrinology, dysmorphology, and reproductive health, relatively little is known about neuropsychiatric development, gender identity, incongruence, and dysphoria in the populations with these disorders. In this report, we describe the case of a 21-year-old gender nonbinary individual identified as male at birth who presented to an academic psychiatry consultation clinic because of life-long gender dysphoria. The patient was found to have a complex sex chromosomal rearrangement and associated hormonal abnormalities that may, at least in part, explain the patient's history. In addition to describing a novel genetic change, this case and the accompanying review of the existing literature highlight the need for an increased focus on the psychiatric perspective, and sex and gender issues in particular, among all patients with sex chromosome abnormalities and inborn errors of steroid metabolism.
Competing Interests: The authors declare no conflicts of interest.
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Databáze: MEDLINE