Presence of Turner stigmata in a case of dysgenetic male pseudohermaphroditism with 45,X/46,X+mar karyotype

Arch Dis Child. 1997 Mar;76(3):268-71. doi: 10.1136/adc.76.3.268.

Abstract

A case is reported of dysgenetic male pseudohermaphroditism (DMPH) having Turner stigmata and 45,X/46,X+mar karyotype. The marker chromosome of this patient consisted of most if not all of the short arm, including the sex determining region of the Y chromosome. Although this karyotype is relatively common in Turner's syndrome and occasionally observed in mixed gonadal dysgenesis, DMPH is usually exemplified by a 46,XY karyotype except for one patient reported with 45,X/46,XY mosaicism. Turner stigmata have not previously been reported in DMPH. The present patient is an intermediate case between mixed gonodal dysgenesis and typical DMPH, and this indicates that 45,X/ 46,X +mar karyotype abnormality can result in a wide range of phenotype such as DMPH, mixed gonodal dysgenesis and Turner's syndrome.

Publication types

  • Case Reports

MeSH terms

  • Disorders of Sex Development / genetics*
  • Disorders of Sex Development / pathology
  • Gonads / pathology
  • Humans
  • Infant, Newborn
  • Karyotyping
  • Magnetic Resonance Imaging
  • Male
  • Phenotype
  • Turner Syndrome / genetics*
  • Turner Syndrome / pathology
  • Y Chromosome