Genital ambiguity occurs when it is not possible to categorize the gender of the child based on outward genital appearance.
Can result from various disorders of sexual development (DS...
Genital ambiguity in the neonate should be treated as an emergency, and diagnostic evaluation undertaken as soon as possible.
CAH, the most common cause of DSD, can be life-threatening when a...
Emphasis is on patient-centered care.
Medical staff should use terms such as “your child” or “your baby” rather than “he,” “she,” or “it.”
Counsel family to not make announceme...
Long-term follow-up may involve monitoring hormone levels, linear growth, and sexual and psychological development.
Follow-up also involves monitoring for gonadal ...
Barbaro M, Wedell A, Nordenström A. Disorders of sex development. Semin Fetal Neonatal Med. 2011;16(2):119–127. [View Abstract on OvidInsights]
Lambert SM, Vilain EJ, Kolon TF....
752.7 Indeterminate sex and pseudohermaphroditism
255.2 Adrenogenital disorders
Q56.4 Indeterminate sex, unspecified
E25.0 Congenital adrenogenital disorders assoc w enzyme deficiency
Q56.3...
Q: Should a child’s sex assignment be consistent with the karyotype?
A: This is a major decision that should involve the family and the treatment team. Future potential for sexual, hormonal, and re...
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<bold>Figure 49-6</bold> Ambiguous genitalia in a child with congenital adrenal hyperplasia.
<bold>Figure 50-11</bold> Ambiguous genitalia.
Ambiguous Genitalia Some rare conditions result in ambiguous genitalia. This is a case of congenital adrenal hyperplasia.