ESPE Yearbook of Paediatric Endocrinology

The current chapter on gender dysphoria (GD) in children and adolescents and disorders/differences of sex development (DSD) is a novel addition to the Yearbook and presented here for the first time. The reason for adding the chapter is obvious for all pediatric endocrinologists as the knowledge and numbers of patients in these areas have increased heavily during the past few decades. This situation has created clinical and ethical challenges for pediatric endocrinologists look...

To read the full abstract: Clin Endocrinol (Oxf). 2017; 87(6): 651-659Patients with CAH are treated with lifelong glucocorticoid (GC) replacement therapy and, for the classic form of the disease, treatment with fludrocortisone is also necessary. During different periods throughout life, it may be difficult to achieve optimal dosing of GC replacement therapy, leading to over- or under-treatment and, t...

To read the full abstract: J Psychosom Res. 2017 Oct;101:122-127The results of this study clearly show individuals with a DSD condition have psychological difficulties, and not only in countries with a less well developed health care systems, as reported by Khorashad et al. 2018. The findings indicate that having a DSD may impose a type of stress and vulnerability that is more common t...

To read the full abstract: Nat Rev Endocrinol. 2018 May 16[Comments on 6.19 and 6.20] These two publications, a review and a consensus statement, are especially useful in the clinical care for individuals with disorders affecting the sex development, albeit in different ways. Since the Chicago consensus in 2005, the knowledge of the ...