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Spectrum of external genital anomalies in disorders of Sex Development at Children Hospital & Institute of Child Health, Lahore, Pakistan

Pakistan journal of medical sciences, 2021-02, Vol.37 (1), p.244-249 [Peer Reviewed Journal]

Copyright: © Pakistan Journal of Medical Sciences. ;COPYRIGHT 2021 Knowledge Bylanes ;COPYRIGHT 2021 Knowledge Bylanes ;(c)2021 Pakistan Journal of Medical Sciences ;Copyright: © Pakistan Journal of Medical Sciences 2021 ;ISSN: 1682-024X ;EISSN: 1681-715X ;DOI: 10.12669/pjms.37.1.2991 ;PMID: 33437285

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  • Title:
    Spectrum of external genital anomalies in disorders of Sex Development at Children Hospital & Institute of Child Health, Lahore, Pakistan
  • Author: Khan, Sarah ; Tafweez, Raafea ; Haider, Areiba ; Yaqoob, Muhammad
  • Subjects: Age ; Ambiguity ; Amenorrhea ; Child development ; Children ; Childrens health ; Congenital diseases ; Developing countries ; Disorders of sex development ; Families & family life ; Females ; Fertility ; Genetic disorders ; Health aspects ; Hyperplasia ; LDCs ; Males ; Original ; Pediatrics ; Penis ; Puberty ; Reproductive organs ; Sex chromosomes ; Sex determination, Diagnostic ; Sinuses ; Sperm ; Standard deviation
  • Is Part Of: Pakistan journal of medical sciences, 2021-02, Vol.37 (1), p.244-249
  • Description: To describe the mode of presentation and frequency of external genital anomalies in disorder of sex development (DSD). This cross-sectional study was conducted at Children Hospital & Institute of Child Health, Lahore from January to December, 2016 on Children with DSD above 10 years of age. A detailed history and physical examination were done. Positive findings were recorded on a predesigned proforma and analyzed by SPSS 21. Karyotyping on blood samples was done to determine their genetic sex. Out of 83 DSD children, 67% (n=56) were assigned a female sex at birth of which 9% (n=5) had ambiguous genitalia. Male sex at birth was given to 33% (n=27) of which 96% (n=26) had genital ambiguity. Mode of presentation other than ambiguous genitalia were delayed puberty, amenorrhea, hirsuitism, gynaecomastia, cyclic hematuria etc. Clitoromegaly was the main finding in 62.5% (n=5) and micropenis in 45% (n=9). Karyotypic sex of 56 female sex of rearing was 46XX 80% (n=45), 45X0 13% (n=7), XXX 2% (n=1) and 46 XY in 5% (n=3). Karyotypic sex of 27 male sex of rearing was 46XY in 78% (n=21), 46XX in 15% (n=4) and 47XXY in 7% (n=2). Disorders of sex development presented with a wide spectrum of external genital anomalies ranging from clitoromegaly in females to micropenis and hypospadias in males. There was also an extreme diversity in mode of presentation of these cases including pubertal delay, amenorrhea in females and gender confusion disorders.
  • Publisher: Pakistan: Knowledge Bylanes
  • Language: English
  • Identifier: ISSN: 1682-024X
    EISSN: 1681-715X
    DOI: 10.12669/pjms.37.1.2991
    PMID: 33437285
  • Source: GFMER Free Medical Journals
    PubMed Central
    Alma/SFX Local Collection
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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