Holistic management of DSD.
Disorder of sex development (DSD) presents a unique challenge, both diagnostically and in terms of acute and longer-term management. These are relatively rare conditions usually requiring a multidisciplinary approach from the outset and the involvement of a tertiary centre for assessment and management recommendations. This article describes the structure of the multidisciplinary team (MDT) at our centre, with contributions from key members of the team regarding their individual roles. The focus is on the newborn referred for assessment of ambiguous genitalia, rather than on individuals who present in the adolescent period or at other times, although the same MDT involvement is likely to be required. The approach to the initial assessment and management is discussed and the subsequent diagnosis and follow-up presented, with emphasis on the importance of careful transition and long-term support.
Brain
Caroline E
CE
Department of Endocrinology, Great Ormond Street Hospital NHS Trust, London WC1N 3JN, UK. cbrain@nhs.net
Creighton
Sarah M
SM
Mushtaq
Imran
I
Carmichael
Polly A
PA
Barnicoat
Angela
A
Honour
John W
JW
Larcher
Victor
V
Achermann
John C
JC
D000293:Adolescent; D000328:Adult; D002648:Child; D012734:Disorders of Sex Development / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D004704:Endocrinology; D005260:Female; D006694:Holistic Health; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008967:Molecular Biology; D010348:Patient Care Team / Q000941:ethics; D012017:Referral and Consultation; D014572:Urology