46 XX Ovotesticular Disorder of Sex Development with Gonadotropin-Releasing Hormone Receptor, Autosomal Recessive Heterozygous Missense Mutation and Autosomal Dominant Heterozygous Missense Mutation of the PROKR2 Gene: A Case Report.

Autor: Peranzoni F; Department of Pediatric Surgery, Lausanne University Hospital, Lausanne, Switzerland., De Castro R; Thien Nhan and Friends Association, Italy., Merlini E; Department of Pediatric Surgery, Hospital of Alexandria, Italy., Nguyen YL; Department of Pediatric Urology, Vietnam National Hospital of Pediatric 2, Ho Chi Minh City, Vietnam.
Jazyk: angličtina
Zdroj: Global medical genetics [Glob Med Genet] 2024 Jul 09; Vol. 11 (3), pp. 220-224. Date of Electronic Publication: 2024 Jul 09 (Print Publication: 2024).
DOI: 10.1055/s-0044-1788060
Abstrakt: True hermaphroditism is a disorder of sex development (DSD), accounting for less than 5% of all DSD cases, defined by the simultaneous presence of testicular tissue and ovarian tissue in the same individual. In the reported case, the patient presented two genetic mutations involved in the pathogenic pathway of the DSD condition associated with the clinical features of Kallmann syndrome (KS), a developmental disease that associates hypogonadotropic hypogonadism (HH), due to gonadotropin-releasing hormone deficiency, and anosmia, related to the absence or hypoplasia of the olfactory bulbs. Given the variable degree of hyposmia in KS, the distinction between KS and normosmic idiopathic HH is currently unclear, especially as HH patients do not always undergo detailed olfactory testing. This syndrome is very rare, with an estimated prevalence of 1:80,000 in males and 1:40,000 in females. This is the only case report concerning a patient with 46 XX true hermaphroditism affected by HH and digenic inheritance of Kallmann syndrome.
Competing Interests: Conflict of Interest None declared.
(The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ).)
Databáze: MEDLINE