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一例迟发性两性畸形病例。

A Case with late onset of ambiguous genitalia.

作者信息

Gargari Soraya Saleh, Azizi Faezeh, Saleh Nasrin, Omrani Mir Davood

机构信息

Feto-Maternal Unit, Mahdieh Hospital, Shahid Beheshti, University of Medical Sciences, Tehran, Iran.

Department of Medical Genetics, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Int J Reprod Biomed. 2017 Mar;15(3):175-178.

PMID:28580451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5447835/
Abstract

BACKGROUND

Ambiguous genitalia is an uncommon situation that happens between 1 and 2 per every 1000 live births and falls under the umbrella diagnosis of disorders of sexual development.

CASE

In this article, we report a case of male pseudohermaphroditism with ambiguous genitalia. The proband was a 12 yr old girl without any uterus or ovarian tissues. Karyotype of the case is 46, XY. Genes involved in sexual differentiation such as AR, SRD5A2, LH, LHR, FSH, 17 B HSD and SRY genes were sequenced in both directions. No mutations were found in these genes either.

CONCLUSION

It seems advisable to be cautious in similar cases, and revise protocol for tracing the genes involved in the patients.

摘要

背景

两性生殖器畸形是一种罕见情况,每1000例活产中发生1至2例,属于性发育障碍的综合诊断范畴。

病例

在本文中,我们报告一例患有两性生殖器畸形的男性假两性畸形病例。先证者是一名12岁女孩,没有任何子宫或卵巢组织。该病例的核型为46,XY。对参与性分化的基因如AR、SRD5A2、LH、LHR、FSH、17βHSD和SRY基因进行双向测序。这些基因中也未发现突变。

结论

在类似病例中似乎宜谨慎行事,并修订追踪患者相关基因的方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f543/5447835/0f744db57f6b/ijrb-15-175-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f543/5447835/de4c6946d858/ijrb-15-175-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f543/5447835/0f744db57f6b/ijrb-15-175-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f543/5447835/de4c6946d858/ijrb-15-175-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f543/5447835/0f744db57f6b/ijrb-15-175-g002.jpg

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本文引用的文献

1
Persistent Mullerian Duct Syndrome with Ovarian Endometriosis-A Rare Case Report.持续性苗勒管综合征合并卵巢子宫内膜异位症——1例罕见病例报告
J Clin Diagn Res. 2016 Feb;10(2):ED14-5. doi: 10.7860/JCDR/2016/16691.7266. Epub 2016 Feb 1.
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Disorders of sexual development.性发育障碍
Clin Perinatol. 2015 Jun;42(2):395-412, ix-x. doi: 10.1016/j.clp.2015.02.006. Epub 2015 Mar 29.
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Persistent müllerian duct syndrome: a case report.持续性苗勒管综合征:一例报告
Indian J Surg. 2013 Jun;75(Suppl 1):460-2. doi: 10.1007/s12262-013-0831-6. Epub 2013 Jan 27.
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Gender Development in 46,XY DSD: Influences of Chromosomes, Hormones, and Interactions with Parents and Healthcare Professionals.46,XY性发育障碍中的性别发育:染色体、激素以及与父母和医疗保健专业人员相互作用的影响
Scientifica (Cairo). 2012;2012:834967. doi: 10.6064/2012/834967. Epub 2012 Sep 19.
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46 XY gonadal dysgenesis in adulthood 'pitfalls of late diagnosis'.成年期46,XY性腺发育不全——“延迟诊断的陷阱”
BMJ Case Rep. 2012 Feb 10;2012:bcr1220103626. doi: 10.1136/bcr.12.2010.3626.
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Targeted massively parallel sequencing provides comprehensive genetic diagnosis for patients with disorders of sex development.靶向大规模平行测序为性发育障碍患者提供全面的遗传诊断。
Clin Genet. 2013 Jan;83(1):35-43. doi: 10.1111/j.1399-0004.2012.01879.x. Epub 2012 May 1.
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Failure of SOX9 regulation in 46XY disorders of sex development with SRY, SOX9 and SF1 mutations.SRY、SOX9 和 SF1 基因突变导致 46XY 性发育障碍中 SOX9 调控失败。
PLoS One. 2011 Mar 11;6(3):e17751. doi: 10.1371/journal.pone.0017751.
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WT1 mutation as a cause of 46 XY DSD and Wilm's tumour: a case report and literature review.WT1 突变导致 46,XY DSD 和肾母细胞瘤:病例报告及文献复习。
Acta Paediatr. 2011 Jul;100(7):e39-42. doi: 10.1111/j.1651-2227.2011.02167.x. Epub 2011 Feb 14.
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Steroidogenic factor-1 (SF-1, NR5A1) and human disease.类固醇生成因子-1(SF-1,NR5A1)与人类疾病。
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Sex determination and disorders of sex development according to the revised nomenclature and classification in 46,XX individuals.根据修订后的命名和分类,在 46,XX 个体中进行性别决定和性别发育障碍。
Hormones (Athens). 2010 Jul-Sep;9(3):218-131. doi: 10.14310/horm.2002.1272.