Kulkarni, Ketan PrasadPanigrahi, InushaDas, ReenaKaur, SurinderMarwaha, Ram Kumar2012-10-232012-10-232009-09Kulkarni Ketan Prasad, Panigrahi Inusha, Das Reena, Kaur Surinder, Marwaha Ram Kumar. Pediatric disorders of sex development. Indian Journal of Pediatrics. 2009 Sept; 76(9): 956-958.http://imsear.searo.who.int/handle/123456789/142381The management of disorders of sexual differentiation (DSD) involves a multidisciplinary approach. The main aim of analysis was to study the phenotype-karyotype correlation in North Indian children with DSD. The records of pediatric DSD were retrieved and characteristics noted. Of total of 58 children, 43 (74.1%) and 10 (17.2%) were raised as males and females respectively. The mean age at presentation was 31.3±9 months. The karyotype was 46XY in 45 (77.6%) and 46XX in 12 (20.7%). CAH was commonest cause of DSD (36.2%), followed by gonadal dysgenesis. Of the 15 patients of 46 XY CAH, there were 5 with 17-α hydroxylase deficiency, 2 with 3-β HSD deficiency and one case of lipoid adrenal hyperplasia. There was an excess of genetic males, possibly due to prevalent socio-cultural factors and gender bias favoring males. There is a need to improve the diagnostic facilities and incorporate a team approach in management of DSD.enAmbiguous genitaliaChildrenHypospadiasKaryotypePhenotypeChi-Square DistributionChild, PreschoolDisorders of Sex Development --diagnosisDisorders of Sex Development --epidemiologyFemaleHumansIndia --epidemiologyInfantKaryotypingMalePhenotypeArticle