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一例雄激素受体结合正常且核型为47,XYY的男性假两性畸形病例。

A case of male pseudohermaphroditism with normal androgen receptor binding and 47,XYY karyotype.

作者信息

Bosch-Banyeras J M, Audi L, Sarret E, Bau A, Bosch-Marcet J, Bernet M, Iriondo L, Cuatrecasas J M

出版信息

Ann Genet. 1985;28(2):125-9.

PMID:3876063
Abstract

A case of male pseudohermaphroditism with 47,XYY karyotype in blood and cutaneous fibroblasts is described. The plasma testosterone response to HCG stimulation was slightly below the normal range on two occasions suggesting a deficit of gonadal function. A study of the receptors for dihydrotestosterone in fibroblasts of genital and nongenital skin showed a normal concentration of receptors in genital skin; 5-alpha-reductase activity in fibroblasts of the genital skin was low, but the plasma relationship testosterone/dihydrotestosterone under HCG stimulation was normal. The diagnostic possibility of a complete testicular feminization syndrome with normal receptors for dihydrotestosterone is commented on.

摘要

本文描述了一例血液和皮肤成纤维细胞核型为47,XYY的男性假两性畸形病例。血浆睾酮对人绒毛膜促性腺激素(HCG)刺激的反应在两次检测中略低于正常范围,提示性腺功能不足。对生殖器和非生殖器皮肤成纤维细胞中双氢睾酮受体的研究表明,生殖器皮肤中受体浓度正常;生殖器皮肤成纤维细胞中的5-α还原酶活性较低,但在HCG刺激下血浆睾酮/双氢睾酮的关系正常。文中还讨论了双氢睾酮受体正常的完全性睾丸女性化综合征的诊断可能性。

相似文献

1
A case of male pseudohermaphroditism with normal androgen receptor binding and 47,XYY karyotype.一例雄激素受体结合正常且核型为47,XYY的男性假两性畸形病例。
Ann Genet. 1985;28(2):125-9.
2
Reduced affinity of the androgen receptor for 5 alpha-dihydrotestosterone but not methyltrienolone in a form of partial androgen resistance. Studies on cultured genital skin fibroblasts.在一种部分雄激素抵抗形式中,雄激素受体对5α - 双氢睾酮的亲和力降低,但对甲基三烯olone的亲和力未降低。对培养的生殖器皮肤成纤维细胞的研究。
J Clin Invest. 1985 Apr;75(4):1291-6. doi: 10.1172/JCI111829.
3
Dihydrotestosterone binding by cultured human fibroblasts. Comparison of cells from control subjects and from patients with hereditary male pseudohermaphroditism due to androgen resistance.培养的人成纤维细胞对双氢睾酮的结合。对照受试者与雄激素抵抗所致遗传性男性假两性畸形患者细胞的比较。
J Clin Invest. 1976 May;57(5):1342-51. doi: 10.1172/JCI108402.
4
Male pseudohermaphroditism presumably due to target organ unresponsiveness to androgens. Deficient 5alpha-dihydrotestosterone binding in cultured skin fibroblasts.男性假两性畸形可能是由于靶器官对雄激素无反应。培养的皮肤成纤维细胞中5α-二氢睾酮结合不足。
J Clin Invest. 1976 Aug;58(2):345-50. doi: 10.1172/JCI108478.
5
Testicular feminization associated with a thermolabile androgen receptor in culutred human fibroblasts.培养的人成纤维细胞中与热不稳定雄激素受体相关的睾丸女性化
J Clin Invest. 1979 Dec;64(6):1624-31. doi: 10.1172/JCI109624.
6
Androgen receptors and partial androgen insensitivity in male pseudohermaphroditism.雄激素受体与男性假两性畸形中的部分雄激素不敏感
Ann Genet. 1986;29(1):5-10.
7
Partial androgen insensitivity: the Reifenstein syndrome revisited.部分雄激素不敏感:再探赖芬斯坦综合征
N Engl J Med. 1977 Aug 18;297(7):350-6. doi: 10.1056/NEJM197708182970703.
8
Male pseudohermaphroditism: diagnosis in cell culture.男性假两性畸形:细胞培养中的诊断
Can Med Assoc J. 1977 Jun 4;116(11):1274-5, 1277.
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[Causes of ambiguous external genitalia in neonates].[新生儿外生殖器模糊的原因]
Srp Arh Celok Lek. 2001 Mar-Apr;129(3-4):57-60.
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[Male pseudohermaphroditism caused by partial insensitivity to androgens. Clinical and biochemical heterogeneity].[雄激素部分不敏感所致男性假两性畸形。临床与生化异质性]
Arch Fr Pediatr. 1985 Aug-Sep;42 Suppl 1:569-74.

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1
Etiopathogenesis, classification, investigations and diagnosis in intersex disorders.两性畸形的病因发病机制、分类、检查及诊断
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