UK Guidance On The Initial Evaluation Of An Infant Or An Adolescent With A Suspected Disorder Of Sex Development

Wiebke Arlt, Nils Krone, S Faisal Ahmed, John C Achermann, Adam Balen, Gerry Conway, Zoe Edwards, Sue Elford, Ieuan A Hughes, Louise Izatt, Harriet Miles, Stuart O'Toole, Les Perry, Caroline Sanders, Margaret Simmonds, A Michael Wallace, Andrew Watt, Debbie Willis

    Research output: Contribution to journalArticlepeer-review

    117 Citations (Scopus)

    Abstract

    It is paramount that any child or adolescent with a suspected 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.
    Original languageEnglish
    Pages (from-to)12-26
    Number of pages15
    JournalClinical Endocrinology
    Volume75
    Issue number1
    Early online date10 Jun 2011
    DOIs
    Publication statusPublished - 1 Jul 2011

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