A sex reversal infant with XX karyotype and complete male external genitalia

Autor: Yoko Nomura, Kanji Nagashima, Shigenori Yutani, Akihiro Morikawa, Kazumichi Onigata, Ryo Ogawa, Hideki Yagi, Tomohisa Nagashima
Rok vydání: 1995
Předmět:
Zdroj: Pediatrics International. 37:706-709
ISSN: 1328-8067
DOI: 10.1111/j.1442-200x.1995.tb03410.x
Popis: The unusual case of a Japanese newborn XX male is presented. Examination of chromosomes in amniotic fluid cells had shown a normal female karyotype (46,XX), but ultrasonography revealed a penis and a scrotum. The neonate had normal male external genitalia, and serum levels of luteinizing hormone follicle stimulating hormone, and testosterone were all within the normal range. High resonance chromosome analysis revealed an excess portion on the short arm of one of the X chromosoms. We examined his genomic DNA by polymerase chain reaction (PCR) and detected two Y specific regions in his genomic DNA, the sex-determining region Y (SRY) and pseudoautosomal boundary Y. Nucleotide sequencing of the PCR products of SRY indicated no mutation. These findings suggested that the translocation or insertion of an SRY region on the X chromosome led to the development of testicles and a male phenotype.
Databáze: OpenAIRE