Autor: |
P. J. Patel, Abdullah M. Abo Bakr, Muneera Al Husain, Abdullah S. Al Herbish, Asal I. Al Samarrai, Akram J. Jawad, Abdullah A. Al Rabeah, Mohammed A. Abdullah, Nasir A.M. Al Jurayyan |
Rok vydání: |
1996 |
Předmět: |
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Zdroj: |
Europe PubMed Central |
ISSN: |
0256-4947 |
Popis: |
Sexual ambiguity is a complex and often confusing medical problem. In addition to the life-threatening adrenal crises which may accompany some forms, ambiguity of the genitalia may lead to incorrect sex assignment by parents and/or health personnel. Children who present to medical attention beyond the neonatal period constitute a challenging problem due to the grave consequences of this condition. Thirty cases in whom sex reassignment was indicated were seen at King Khalid University Hospital, Riyadh, over a 10-year period. Of these, 27 (90%) were genetic females (20 were 21- and seven were 11-hydroxylase deficient) and three (10%) were genetic males (two partial androgen insensitive and one 5alpha-reductase deficient). All genetic males who were incorrectly assigned as females accepted reassignment. But 9 out of 27 (33%) of the genetic females who were incorrectly assigned as males refused reassignment. Preference for male sex assignment, delayed diagnosis and sociocultural circumstances seem to be the contributing factors for refusal. A national consensus about this important issue strengthened by the existing religious recommendations in demanded. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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