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Primary amenorrhea and virilization in a true hermaphrodite with a rare dicentric Y chromosome.

Abstract
A 24-year-old woman was evaluated for primary amenorrhea and virilization. Karyotyping revealed a rare dicentric Y chromosome with complex mosaicism. Subsequent total abdominal hysterectomy/bilateral salpingo-oophorectomy demonstrated true hermaphroditism manifested by a right ovotestis, a left streak gonad, and Mullerian structures on the right despite the presence of testicular tissue. With the exception of short stature, Turner stigmata were not present despite the predominance of a 45,X cell line. The literature is reviewed.
AuthorsM S Sloan, S M Rosenberg, J A Brown
JournalObstetrics and gynecology (Obstet Gynecol) Vol. 64 Issue 3 Suppl Pg. 64S-67S (Sep 1984) ISSN: 0029-7844 [Print] United States
PMID6540849 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Amenorrhea (genetics, surgery)
  • Castration
  • Disorders of Sex Development (complications, genetics)
  • Female
  • Humans
  • Hysterectomy
  • Karyotyping
  • Male
  • Mosaicism
  • Sex Chromosome Aberrations (complications, genetics)
  • Y Chromosome

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