Freiberg A S, Blumberg B, Lawce H, Mann J
Department of Pediatrics, Kaiser Permanente Medical Centers, San Francisco, California.
Prenat Diagn. 1988 Jul;8(6):423-6. doi: 10.1002/pd.1970080606.
46,XX/46,XY chimerism has previously been reported in patients with abnormal sexual development, and rarely in otherwise normal individuals. We report the first postnatally documented prenatal diagnosis of whole-body 46,XX/46,XY chimerism in humans, discovered by maternal age amniocentesis. The normal male phenotype in this child creates a dilemma in prenatal counselling, since genotypic male/female chimerism cannot be assumed to imply an abnormal sexual phenotype.
46,XX/46,XY嵌合体此前已在性发育异常的患者中被报道,在其他方面正常的个体中则很少见。我们报告了首例通过孕妇年龄羊膜穿刺术发现的出生后记录在案的人类全身46,XX/46,XY嵌合体的产前诊断。这个孩子的正常男性表型在产前咨询中造成了两难局面,因为不能认为基因型为男性/女性的嵌合体就意味着性表型异常。