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An accurate physical examination and a detailed personal and family history are required to investigate the enlargement. Abstract The clitoris is a highly complex organ whose structure has only been clarified in recent years through the use of modern imaging techniques. Fiquei toda molhadinha. Clitoral Size Whereas reference data for the size of the clitoris are available in adult women, a reliable definition of clitoromegaly in children is based on a limited number of studies.

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The publisher and the editor s disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements. Clitoromegaly has also been described in these patients [Galli-Tsinopoulou et al. Seckel syndrome is an extremely rare inherited disorder characterized by growth delay prior to birth, resulting in a low birth weight. Sexual disorder Adolescence Childhood Clitoromegaly Hyperandrogenism. In spite of its prevalence the pediatric literature is scanty. The clitoris is a highly complex organ whose structure has only really been clarified in recent years through the use of modern imaging techniques [O'Connell et al. The growth delay continues after birth and leads to a short stature dwarfism.

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Among 46,XX DSDs, congenital adrenal hyperplasia CAH is the most common hormonal cause of virilization of the external genitalia due to an enzyme defect in the steroid biosynthesis pathway. Consequently, replacement treatment with cortisol or aldosterone reduces the excess adrenocorticotropic hormone, hence androgen overproduction by the adrenal gland. Obvious clitoromegaly in individuals with ambiguous genitalia is easily identifiable, whereas borderline conditions can pass unnoticed. Patients have female genitalia with different degrees of masculinization, clitoromegaly, and abnormalities that may include a severely bifid scrotum. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication.

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Description: The lack of fusion of the labioscrotal folds finally leads to formation of open labia, a perineal vaginal orifice, and a perineal urethra. Recently, Kujur and co-workers [] have described a new case involving a year-old woman with a negative history of clitoral irritation, hormone use or alteration, hirsutism, obesity, or systemic abnormality. Notably, of 7 pediatric cases of angiomyxoma of the vulva mimicking clitoromegaly, 1 case involved the clitoral region. Download Fulltext PDF. The clitoral index CI , the product of lengthwise and crosswise widths, was introduced in the gynecological and obstetrical terminology in [Puppo, ]. How can you rub clits on a subway train. Copcu and co-workers [] have reported 2 cases of acquired idiopathic clitoromegaly involving an adolescent and a child who had no history of exposure to medications, clitoral irritation secondary to masturbation, or gynecological or systemic abnormalities and had normal karyotype and hormonal tests. Clitoromegaly has also been described in a premenarchal girl with a sex-cord stromal tumor [Park et al.
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