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Yearbook of Paediatric Endocrinology 2019

13. Global Health for the Paediatric Endocrinologist

Endocrinology: Disorders of Sexual Development

ey0016.13-8 | Endocrinology: Disorders of Sexual Development | ESPEYB16

13.8. Malaysian females with congenital adrenal hyperplasia: surgical outcomes and attitudes

AA Zainuddin , SR Grover , CH Soon , AG Nur Azurah , ZA Mahdy , LL Wu , R Rasat , F Harun , WY Chia , K Shamsuddin

Front Pediatr 2019, 7:144. DOI: 10.3389/fped.2019.00144• The outcomes of feminizing genitoplasty of 46,XX individuals with CAH were reviewed in this cross-sectional study.• The study highlights the importance of cultural sensitivities, access to medical treatment and timing of the diagnosis on attitudes toward feminizing genitoplasty in Malaysia.<p cl...

ey0016.13-9 | Endocrinology: Disorders of Sexual Development | ESPEYB16

13.9. Incidence of disorders of sexual development in neonates in Ghana: prospective study

E Ameyaw , SB Asafo-Agyei , IA Hughes , M Zacharin , JP Chanoine

Arch Dis Child 2019;104:636–638. DOI: 10.1136/archdischild-2019-316986• Prospective cohort study of 9255 neonates at a tertiary care center in Ghana to determine the incidence of disorders of sexual development (DSD) using physical examination, ultrasound and 17-hydroxyprogesterone measurements.• The estimated incidence of a DSD was 28/10,00...

ey0016.13-10 | Endocrinology: Disorders of Sexual Development | ESPEYB16

13.10. Women with amenorrhea and men with menstruation: the qualitative experiences of people with disorders of sex development in Nigeria

AM San , II Arif , MM Arshad , IA Munga , KG Soh , KL Soh

J Nurs Res. 2019 Mar 7. DOI: 10.1097/jnr.0000000000000313• This qualitative study evaluated the physical and emotional experiences of 13 adults living with disorders of sexual development (DSD) at a tertiary care center in Nigeria.• Diagnosis of DSD is frequently delayed in LMIC resulting in development of ambiguous physical traits and features.<...

ey0016.13-11 | Endocrinology: Disorders of Sexual Development | ESPEYB16

13.11. Outcome of feminizing genital reconstruction in female sex assigned disorder of sex development in a low-income country

SO Ekenze , UN Chikani , UO Ezomike , DC Okafor

J Pediatr Urol. 2019 May;15(3):244-250. DOI: 10.1016/j.jpurol.2019.02.021• This retrospective review of the surgical and psychosocial outcomes included 25 patients who underwent feminizing genital reconstructive surgery in Nigeria.• Barriers to optimal care delivery for disorders of sexual development (DSDs) in LMICs include late presentations, inade...