Pattern of developmental sex disorders in a tertiary hospital in Sudan
-
2014-07-01 https://doi.org/10.14419/ijm.v2i2.2957 -
Abstract
Background: Disorders of sex development (DSD) comprise a group of congenital conditions characterized by atypical chromosomal, gonadal, and anatomic sex development. The birth of a child with these disorders considered a medical and psychosocial emergency.
Objective: The aim of this study was to see the prevalence, etiological factors, management, and problems faced in handling these cases.
Methods: This is a descriptive retrospective study was conducted at Soba university hospital including all patients with proved DSD over a 6-year period.
Results: One hundred thirty-six cases were seen, of which 40 were included in the study. The median age at presentation was 3 years. The most common cause of XX DSD was congenital adrenal hyperplasia (72.5%) and that of XY DSD was androgen insensitivity syndrome. Eleven patients (27.5 %) needed sex reassignment. There was a preference for the male sex.
Conclusion: DSDs are not uncommon in Sudan. Because of lack of awareness and sociocultural reasons cases are referred late. Multidisciplinary teams have to be trained to make services accessible and affordable.
Keywords: Children; Disorders of Sex Development; Sudan.
-
References
- Abdullah MA, Saeed U, Abass A, Lubna K, Weam A, Ali AS & Elmwla IF (2012): Disorders of sex development among Sudanese children: 5-year experience of a pediatric endocrinology clinic. J Pediatr Endocrinol Metab 25, 1065-1072.
- Ahmed SF & O'Toole S (2012): Management of boys and men with disorders of sex development. Curr Opin Endocrinol Diabetes Obes 19, 190-196.
- Arnhold IJ, Melo K, Costa EM, Danilovic D, Inacio M, Domenice S & Mendonca BB (2011): 46,XY disorders of sex development (46,XY DSD) due to androgen receptor defects: androgen insensitivity syndrome. Adv Exp Med Biol 707, 59-61.
- Barbaro M, Wedell A & Nordenstrom A (2011): Disorders of sex development. Semin Fetal Neonatal Med 16, 119-127.
- Bertelloni S & Hiort O (2010): Disorders of sex development (DSD). Preface. Sex Dev 4, 191.
- D'Alberton F (2010): Disclosing disorders of sex development and opening the doors. Sex Dev 4, 304-309.
- Gnassingbe K, Da Silva-Anoma S, Mihleudo-Agbolan K, Anoukoum T, Bignandi K, Akakpo-Numado KG & Tekou HA (2013): The disorders of sex development and the problems of their management in Togo. Afr J Paediatr Surg 10, 202-203.
- Gorduza D, Vidal I, Birraux J, Gay CL, Demede D, Mure PY & Mouriquand P (2010): The surgical challenges of disorders of sex development (DSD). Arch Esp Urol 63, 495-504.
- Guerra-Junior G, Latronico AC, Hiort O & Rey R (2012): Disorders of sex development and hypogonadism: genetics, mechanism, and therapies. Int J Endocrinol 2012, 820373.
- Hiort O (2014): Long-term management of patients with disorders of sex development (DSD). Ann Endocrinol (Paris) 75, 64-66.
- Larson A, Nokoff NJ & Travers S (2012): Disorders of sex development: clinically relevant genes involved in gonadal differentiation. Discov Med 14, 301-309.
- Massanyi EZ, Dicarlo HN, Migeon CJ & Gearhart JP (2013): Review and management of 46, XY disorders of sex development. J Pediatr Urol 9, 368-379.
-
Downloads
-
How to Cite
Ali, H. A. M., Alawad, A., Ali, A. S., & Abdalla, A. A. E. (2014). Pattern of developmental sex disorders in a tertiary hospital in Sudan. International Journal of Medicine, 2(2), 53-55. https://doi.org/10.14419/ijm.v2i2.2957Received date: 2014-05-30
Accepted date: 2014-06-30
Published date: 2014-07-01