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性发育障碍患者。

Patients with disorders of sex development.

作者信息

Markosyan Renata

机构信息

Department of Endocrinology, Yerevan State Medical Universisty, Yerevan, Armenia.

"Muratsan" University Hospital, Yerevan, Armenia.

出版信息

Ann Pediatr Endocrinol Metab. 2021 Jun;26(2):74-79. doi: 10.6065/apem.2040240.120. Epub 2021 Jun 30.

Abstract

Disorders of sex development (DSDs) are a genetically and clinically heterogeneous group of congenital conditions of the urogenital tract and reproductive system. Time and spatially controlled transcription factors, signal molecules, and an array of different hormones are involved in the development of sex characteristics, and variations in their pathways and actions are associated with DSD. These conditions may be caused by numerical or structural variations in sex chromosomes as well as autosomes, variations in genes involved in gonadal and/or genital development, and changes in gonadal and/or adrenal steroidogenesis. Endogenous or exogenous (maternal) and possibly endocrine disruptors may also interfere with genital development.

摘要

性发育障碍(DSDs)是一组泌尿生殖道和生殖系统的先天性疾病,在遗传和临床上具有异质性。时间和空间上受调控的转录因子、信号分子以及一系列不同的激素参与性征的发育,它们的信号通路和作用的变化与性发育障碍相关。这些病症可能由性染色体以及常染色体的数目或结构变异、性腺和/或生殖器发育相关基因的变异,以及性腺和/或肾上腺类固醇生成的变化引起。内源性或外源性(母体)因素以及可能的内分泌干扰物也可能干扰生殖器的发育。

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本文引用的文献

1
A clinical algorithm to diagnose differences of sex development.性发育差异的临床诊断算法。
Lancet Diabetes Endocrinol. 2019 Jul;7(7):560-574. doi: 10.1016/S2213-8587(18)30339-5. Epub 2019 Feb 22.
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Paediatric genomics: diagnosing rare disease in children.儿科基因组学:诊断儿童罕见病。
Nat Rev Genet. 2018 May;19(5):253-268. doi: 10.1038/nrg.2017.116. Epub 2018 Feb 5.
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Introduction to the Special Section: Disorders of Sex Development.特刊介绍:性发育障碍
J Pediatr Psychol. 2017 Jun 1;42(5):487-495. doi: 10.1093/jpepsy/jsx065.
8
Recognition and assessment of atypical and ambiguous genitalia in the newborn.新生儿非典型及模糊性生殖器的识别与评估。
Arch Dis Child. 2017 Oct;102(10):968-974. doi: 10.1136/archdischild-2016-311270. Epub 2017 Apr 25.

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