UK guidance on the initial evaluation of an infant or an adolescent with a suspected disorder of sex development
Autor: | Les Perry, Debbie S. Willis, A. Michael Wallace, Nils Krone, Andrew Watt, S Faisal Ahmed, Louise Izatt, Zoe Edwards, G. S. Conway, Stuart O'Toole, Caroline Sanders, Harriet L Miles, Ieuan A. Hughes, Wiebke Arlt, Adam H. Balen, Sue Elford, Margaret Simmonds, John C. Achermann |
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Rok vydání: | 2011 |
Předmět: |
medicine.medical_specialty
Patient care team business.industry Endocrinology Diabetes and Metabolism education Paediatric endocrinologist MEDLINE 030209 endocrinology & metabolism Multidisciplinary team 3. Good health 03 medical and health sciences Ambiguous genitalia 0302 clinical medicine Endocrinology 030225 pediatrics Internal medicine medicine Psychological support Psychiatry business Young person Strengths and weaknesses |
Zdroj: | Clinical Endocrinology. 75:12-26 |
ISSN: | 0300-0664 |
DOI: | 10.1111/j.1365-2265.2011.04076.x |
Popis: | It is paramount that any child or adolescent with a suspected disorder of sex development (DSD) is assessed by an experienced clinician with adequate knowledge about the range of conditions associated with DSD. If there is any doubt, the case should be discussed with the regional team. In most cases, particularly in the case of the newborn, the paediatric endocrinologist within the regional DSD team acts as the first point of contact. The underlying pathophysiology of DSD and the strengths and weaknesses of the tests that can be performed should be discussed with the parents and affected young person and tests undertaken in a timely fashion. This clinician should be part of a multidisciplinary team experienced in management of DSD and should ensure that the affected person and parents are as fully informed as possible and have access to specialist psychological support. Finally, in the field of rare conditions, it is imperative that the clinician shares the experience with others through national and international clinical and research collaboration. |
Databáze: | OpenAIRE |
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