ISSN: 2161-0711

Journal of Community Medicine & Health Education
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Review Article

Rare Forms of Disorders of Sex Development (DSD) in Patients with Female Phenotype

Kristesashvili J1,2*, Chipashvili M3,4, Jorbenadze T5 and Greydanus DE6

1Center for Reproductive Medicine, Georgia

2Department of Obstetrics, Gynecology and Reproductology, Tbilisi State University, Georgia

3Zhordania Institute of Human Reproduction, Georgia

4Department of Pharmacology, Tbilisi State University, Georgia

5Department of Pathology, Tbilisi State University, Georgia

6Pediatrics and Human Development, Michigan State University, East Lansing & Kalamazoo, Michigan, USA

*Corresponding Author:
Jenara Keristesashvili
Associate Professor, Department of Obstetrics
Gynecology and Reproductology, Tbilisi State University
2 Chiaruli street, Tbilisi, 0159, Georgia
Tel: +995593306294
E-mail: jenarakrist@hotmail.com

Received date: May 26, 2016; Accepted date: June 23, 2016; Published date: June 29, 2016

Citation: Kristesashvili J, Chipashvili M, Jorbenadze T, Greydanus DE (2016) Rare Forms of Disorders of Sex Development (DSD) in Patients with Female Phenotype. J Community Med Health Educ 6:446. doi:10.4172/2161-0711.1000446

Copyright: © 2016 Kristesashvili J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Disorders of Sex development (DSD) belong to uncommon pathologies; in addition, there are especially rare forms, such are ovotesticular disorders (OT), Turner Syndrome and early malignisation of intraabdominal located gonads in the cases of androgen insensitivity syndrome. In this article we present 5 rare cases of DSD in female phenotype patients: 3 cases of ovotesticular DSD with 46,XX and 46,XY karyotypes; 1 familial case of AIS with early malignancy (19-year-old) of intraabdominally-located testicle in older sibs; and a case of spontaneous menstruation in a patient with Turner syndrome and mosaic karyotype 45,X/47,XXX. Rare cases of DSD are connected with diagnostic and management difficulties and so description of each such case and collection of data in this field is very important from a scientific as well as a practical point of view. Determination of prognosis and adequate management of each individual patient are also essential. Study of this issue is especially sensitive in the case of adolescent patients, in order to avoid physiological stress, to reduce health risks, and to improve the quality of their life.

Keywords

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