The Approach to Patients with Disorders of Sex Development (DSD) in the Era of Precision Medicine: The Careful Use of Terminology.

TouchREVIEWS in endocrinology Pub Date : 2024-10-01 Epub Date: 2024-03-28 DOI:10.17925/EE.2024.20.2.4
Rodolfo A Rey
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Abstract

The term "DSD" was coined for "disorders of sex development", referring to conditions where the chromosomal, gonadal and/or genital sex is discordant or ambiguous, to replace terms considered imprecise and stigmatizing. Recently, the term "disorder" has been questioned and the term "differences" has been proposed as not stigmatizing, reflecting that the term DSD should be depathologized. In this opinion article, I discuss the importance of using precise technical terminologies amongst healthcare professionals, in the era of "precision medicine", to avoid misleading diagnoses or classifications while being extremely careful to use sensitive terminologies when interacting with patients and their families. On the other hand, I challenge the concept that DSD are not disorders.

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精准医学时代的性发育障碍(DSD)患者治疗方法:谨慎使用术语。
DSD "一词是为 "性发育障碍 "而创造的,指染色体、性腺和/或生殖器性别不一致或不明确的情况,以取代被认为不准确和带有侮辱性的术语。最近,"失调 "一词受到质疑,有人提出 "差异 "一词不具有侮辱性,这反映出 DSD 一词应该去病理学化。在这篇观点文章中,我讨论了在 "精准医学 "时代,医护专业人员使用精确技术术语的重要性,以避免误导诊断或分类,同时在与患者及其家属交流时要特别注意使用敏感术语。另一方面,我对 "DSD 不是疾病 "这一概念提出了质疑。
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