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A 47,XXY female with unusual genitalia

โœ Scribed by M. Schmid; M. Guttenbach; H. Enders; V. Terruhn


Publisher
Springer
Year
1992
Tongue
English
Weight
571 KB
Volume
90
Category
Article
ISSN
0340-6717

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โœฆ Synopsis


A 47,XXY karyotype was found in a 6-year-old girl. The patient had female external genitalia, clitoromegaly, remnants of the ductus mesonephricus, uterus, and gonads in the labia majora which were determined to be testes by histology. Cytogenetic and DNA analyses suggest that the Y chromosome had a normal structure and that both X chromosomes were of maternal origin. The unusual clinical findings in the patient are discussed.


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We describe a unique patient with complete androgen insensitivity syndrome and a 47,XXY karyotype. Androgen receptor assay using cultured pubic skin fibroblasts showed no androgen-binding capacity. Sequence analysis of the androgen receptor gene demonstrated two nonsense mutations, one in exon D and

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Complete masculinisation of the external genitalia (type V of Prader classification) is reported in two siblings with normal internal female genitalia, normal ovaries and a 46,XX chromosome Constitution in different cell lines without any detectable source of exposure to androgen during pregnancy.