Case Report: Somatic Symptoms Veiling Gender Dysphoria in an Adolescent

Background: Somatic symptom disorder is common in children and adolescents; usually, it is an expression of a mental health problem or other conditions that lead to psychosocial impairment and suffering. Among these, in pubertal age, gender dysphoria should be considered. Case Presentation: We prese...

Full description

Saved in:
Bibliographic Details
Published in:Frontiers in pediatrics 2021-05, Vol.9
Main Authors: Morabito, Giuliana, Cosentini, Dora, Tornese, Gianluca, Gortani, Giulia, Pastore, Serena, Genovese, Maria Rita Lucia, Cozzi, Giorgio
Format: Article
Language:English
Subjects:
chronic pain
gender dysphoria
gender incongruence
mental health emergency
Pediatrics
somatic symptom disorder
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c406t-57d66aff5125237bfe028565d6b595635bf215546d2a7394f41c671f050e96a23
cites cdi_FETCH-LOGICAL-c406t-57d66aff5125237bfe028565d6b595635bf215546d2a7394f41c671f050e96a23
container_end_page
container_issue
container_start_page
container_title Frontiers in pediatrics
container_volume 9
creator Morabito, Giuliana
Cosentini, Dora
Tornese, Gianluca
Gortani, Giulia
Pastore, Serena
Genovese, Maria Rita Lucia
Cozzi, Giorgio
description Background: Somatic symptom disorder is common in children and adolescents; usually, it is an expression of a mental health problem or other conditions that lead to psychosocial impairment and suffering. Among these, in pubertal age, gender dysphoria should be considered. Case Presentation: We present the case of a 15-year-old girl admitted to the hospital because of a 2-month history of scattered arthralgia and myalgia, headache, and fatigue, with repeated visits to the emergency room. The physical exam was unremarkable, except for step walking and pain. Repeated diagnostic tests were normal, and consecutive psychological interviews disclosed intense suffering due to a gender incongruence. Referral to the hospital gender service was offered and refused by the parents. Conclusions: In pubertal age, gender dysphoria may be expressed through somatoform symptoms. Diagnosis is challenging to accept for the parents even in the presence of adequate multi-disciplinary hospital services.
doi_str_mv 10.3389/fped.2021.679004
format article
fullrecord <record><control><sourceid>pubmedcentral_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_cfbc06234ea94b2f89391297f11ea007</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_cfbc06234ea94b2f89391297f11ea007</doaj_id><sourcerecordid>pubmedcentral_primary_oai_pubmedcentral_nih_gov_8192849</sourcerecordid><originalsourceid>FETCH-LOGICAL-c406t-57d66aff5125237bfe028565d6b595635bf215546d2a7394f41c671f050e96a23</originalsourceid><addsrcrecordid>eNpVkV1LwzAUhoMobszde5k_0JnvNF4IY-ocCIJTb0PaJltH25SkCvv3tlbEnZtzOIfzwMsDwDVGC0pTdeNaWywIInghpEKInYEpIUokhAp0_m-egHmMB9SXkohjfgkmlGFClWRTsF6ZaOGrbX3obuHW16Yrc7g91m3n6wg_bFmVzQ6ubVPYAO-Psd37UBpYNtA0cFn4ysbcNt0VuHCminb-22fg_fHhbfWUPL-sN6vlc5IzJLqEy0II4xzHhBMqM2cRSbnghci44oLyzBHMORMFMZIq5hjOhcQOcWSVMITOwGbkFt4cdBvK2oSj9qbUPwsfdtqEPkJlde6yHAlCmTWKZcSliipMlHQYW4OQ7Fl3I6v9zGpbDDGCqU6gp5em3Oud_9IpViRlqgegEZAHH2Ow7u8XIz040oMjPTjSoyP6DfZNgsI</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Case Report: Somatic Symptoms Veiling Gender Dysphoria in an Adolescent</title><source>PubMed Central (Open Access)</source><creator>Morabito, Giuliana ; Cosentini, Dora ; Tornese, Gianluca ; Gortani, Giulia ; Pastore, Serena ; Genovese, Maria Rita Lucia ; Cozzi, Giorgio</creator><creatorcontrib>Morabito, Giuliana ; Cosentini, Dora ; Tornese, Gianluca ; Gortani, Giulia ; Pastore, Serena ; Genovese, Maria Rita Lucia ; Cozzi, Giorgio</creatorcontrib><description>Background: Somatic symptom disorder is common in children and adolescents; usually, it is an expression of a mental health problem or other conditions that lead to psychosocial impairment and suffering. Among these, in pubertal age, gender dysphoria should be considered. Case Presentation: We present the case of a 15-year-old girl admitted to the hospital because of a 2-month history of scattered arthralgia and myalgia, headache, and fatigue, with repeated visits to the emergency room. The physical exam was unremarkable, except for step walking and pain. Repeated diagnostic tests were normal, and consecutive psychological interviews disclosed intense suffering due to a gender incongruence. Referral to the hospital gender service was offered and refused by the parents. Conclusions: In pubertal age, gender dysphoria may be expressed through somatoform symptoms. Diagnosis is challenging to accept for the parents even in the presence of adequate multi-disciplinary hospital services.</description><identifier>ISSN: 2296-2360</identifier><identifier>EISSN: 2296-2360</identifier><identifier>DOI: 10.3389/fped.2021.679004</identifier><identifier>PMID: 34123974</identifier><language>eng</language><publisher>Frontiers Media S.A</publisher><subject>chronic pain ; gender dysphoria ; gender incongruence ; mental health emergency ; Pediatrics ; somatic symptom disorder</subject><ispartof>Frontiers in pediatrics, 2021-05, Vol.9</ispartof><rights>Copyright © 2021 Morabito, Cosentini, Tornese, Gortani, Pastore, Genovese and Cozzi. 2021 Morabito, Cosentini, Tornese, Gortani, Pastore, Genovese and Cozzi</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-57d66aff5125237bfe028565d6b595635bf215546d2a7394f41c671f050e96a23</citedby><cites>FETCH-LOGICAL-c406t-57d66aff5125237bfe028565d6b595635bf215546d2a7394f41c671f050e96a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192849/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192849/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Morabito, Giuliana</creatorcontrib><creatorcontrib>Cosentini, Dora</creatorcontrib><creatorcontrib>Tornese, Gianluca</creatorcontrib><creatorcontrib>Gortani, Giulia</creatorcontrib><creatorcontrib>Pastore, Serena</creatorcontrib><creatorcontrib>Genovese, Maria Rita Lucia</creatorcontrib><creatorcontrib>Cozzi, Giorgio</creatorcontrib><title>Case Report: Somatic Symptoms Veiling Gender Dysphoria in an Adolescent</title><title>Frontiers in pediatrics</title><description>Background: Somatic symptom disorder is common in children and adolescents; usually, it is an expression of a mental health problem or other conditions that lead to psychosocial impairment and suffering. Among these, in pubertal age, gender dysphoria should be considered. Case Presentation: We present the case of a 15-year-old girl admitted to the hospital because of a 2-month history of scattered arthralgia and myalgia, headache, and fatigue, with repeated visits to the emergency room. The physical exam was unremarkable, except for step walking and pain. Repeated diagnostic tests were normal, and consecutive psychological interviews disclosed intense suffering due to a gender incongruence. Referral to the hospital gender service was offered and refused by the parents. Conclusions: In pubertal age, gender dysphoria may be expressed through somatoform symptoms. Diagnosis is challenging to accept for the parents even in the presence of adequate multi-disciplinary hospital services.</description><subject>chronic pain</subject><subject>gender dysphoria</subject><subject>gender incongruence</subject><subject>mental health emergency</subject><subject>Pediatrics</subject><subject>somatic symptom disorder</subject><issn>2296-2360</issn><issn>2296-2360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkV1LwzAUhoMobszde5k_0JnvNF4IY-ocCIJTb0PaJltH25SkCvv3tlbEnZtzOIfzwMsDwDVGC0pTdeNaWywIInghpEKInYEpIUokhAp0_m-egHmMB9SXkohjfgkmlGFClWRTsF6ZaOGrbX3obuHW16Yrc7g91m3n6wg_bFmVzQ6ubVPYAO-Psd37UBpYNtA0cFn4ysbcNt0VuHCminb-22fg_fHhbfWUPL-sN6vlc5IzJLqEy0II4xzHhBMqM2cRSbnghci44oLyzBHMORMFMZIq5hjOhcQOcWSVMITOwGbkFt4cdBvK2oSj9qbUPwsfdtqEPkJlde6yHAlCmTWKZcSliipMlHQYW4OQ7Fl3I6v9zGpbDDGCqU6gp5em3Oud_9IpViRlqgegEZAHH2Ow7u8XIz040oMjPTjSoyP6DfZNgsI</recordid><startdate>20210528</startdate><enddate>20210528</enddate><creator>Morabito, Giuliana</creator><creator>Cosentini, Dora</creator><creator>Tornese, Gianluca</creator><creator>Gortani, Giulia</creator><creator>Pastore, Serena</creator><creator>Genovese, Maria Rita Lucia</creator><creator>Cozzi, Giorgio</creator><general>Frontiers Media S.A</general><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20210528</creationdate><title>Case Report: Somatic Symptoms Veiling Gender Dysphoria in an Adolescent</title><author>Morabito, Giuliana ; Cosentini, Dora ; Tornese, Gianluca ; Gortani, Giulia ; Pastore, Serena ; Genovese, Maria Rita Lucia ; Cozzi, Giorgio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-57d66aff5125237bfe028565d6b595635bf215546d2a7394f41c671f050e96a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>chronic pain</topic><topic>gender dysphoria</topic><topic>gender incongruence</topic><topic>mental health emergency</topic><topic>Pediatrics</topic><topic>somatic symptom disorder</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morabito, Giuliana</creatorcontrib><creatorcontrib>Cosentini, Dora</creatorcontrib><creatorcontrib>Tornese, Gianluca</creatorcontrib><creatorcontrib>Gortani, Giulia</creatorcontrib><creatorcontrib>Pastore, Serena</creatorcontrib><creatorcontrib>Genovese, Maria Rita Lucia</creatorcontrib><creatorcontrib>Cozzi, Giorgio</creatorcontrib><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Frontiers in pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morabito, Giuliana</au><au>Cosentini, Dora</au><au>Tornese, Gianluca</au><au>Gortani, Giulia</au><au>Pastore, Serena</au><au>Genovese, Maria Rita Lucia</au><au>Cozzi, Giorgio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case Report: Somatic Symptoms Veiling Gender Dysphoria in an Adolescent</atitle><jtitle>Frontiers in pediatrics</jtitle><date>2021-05-28</date><risdate>2021</risdate><volume>9</volume><issn>2296-2360</issn><eissn>2296-2360</eissn><abstract>Background: Somatic symptom disorder is common in children and adolescents; usually, it is an expression of a mental health problem or other conditions that lead to psychosocial impairment and suffering. Among these, in pubertal age, gender dysphoria should be considered. Case Presentation: We present the case of a 15-year-old girl admitted to the hospital because of a 2-month history of scattered arthralgia and myalgia, headache, and fatigue, with repeated visits to the emergency room. The physical exam was unremarkable, except for step walking and pain. Repeated diagnostic tests were normal, and consecutive psychological interviews disclosed intense suffering due to a gender incongruence. Referral to the hospital gender service was offered and refused by the parents. Conclusions: In pubertal age, gender dysphoria may be expressed through somatoform symptoms. Diagnosis is challenging to accept for the parents even in the presence of adequate multi-disciplinary hospital services.</abstract><pub>Frontiers Media S.A</pub><pmid>34123974</pmid><doi>10.3389/fped.2021.679004</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2296-2360
ispartof Frontiers in pediatrics, 2021-05, Vol.9
issn 2296-2360
2296-2360
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_cfbc06234ea94b2f89391297f11ea007
source PubMed Central (Open Access)
subjects chronic pain
gender dysphoria
gender incongruence
mental health emergency
Pediatrics
somatic symptom disorder
title Case Report: Somatic Symptoms Veiling Gender Dysphoria in an Adolescent
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T03%3A12%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmedcentral_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Case%20Report:%20Somatic%20Symptoms%20Veiling%20Gender%20Dysphoria%20in%20an%20Adolescent&rft.jtitle=Frontiers%20in%20pediatrics&rft.au=Morabito,%20Giuliana&rft.date=2021-05-28&rft.volume=9&rft.issn=2296-2360&rft.eissn=2296-2360&rft_id=info:doi/10.3389/fped.2021.679004&rft_dat=%3Cpubmedcentral_doaj_%3Epubmedcentral_primary_oai_pubmedcentral_nih_gov_8192849%3C/pubmedcentral_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c406t-57d66aff5125237bfe028565d6b595635bf215546d2a7394f41c671f050e96a23%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/34123974&rfr_iscdi=true