scholarly journals A case report of 46,XY partial gonadal dysgenesis caused by a novel mutation in the sex-determining region gene

2020 ◽  
Vol 9 (6) ◽  
pp. 867-872
Author(s):  
Ke Xu ◽  
Na Su ◽  
Hong Zhang ◽  
Jingxin Zhu ◽  
Xinran Cheng
Author(s):  
Matea Melša ◽  
Miram Pasini ◽  
Nevena Krnić ◽  
Marija Mikloš ◽  
Kristina Crkvenac Gornik ◽  
...  

2000 ◽  
Vol 67 (5) ◽  
pp. 1302-1305 ◽  
Author(s):  
Fujio Umehara ◽  
Genshu Tate ◽  
Kayoko Itoh ◽  
Naoki Yamaguchi ◽  
Tsutomu Douchi ◽  
...  

2000 ◽  
Vol 67 (5) ◽  
pp. 1302-1305 ◽  
Author(s):  
Fujio Umehara ◽  
Genshu Tate ◽  
Kayoko Itoh ◽  
Naoki Yamaguchi ◽  
Tsutomu Douchi ◽  
...  

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rui Lin ◽  
Nanbin Liu ◽  
Xiuyan Wang ◽  
Xuyou Zhu ◽  
Daojing Huang ◽  
...  

Abstract Background 46XY partial gonadal dysgenesis (PGD) is a rare subtype of disorder of sex development (DSD). 46YY PGD is a congenital disease with atypical chromosomal, gonadal, or anatomical sex development. The patient in this case report had male and female genitalia simultaneously. We created a flowchart of the differential diagnosis for clinicians. Case presentation A 41-year-old male was admitted to the hospital complaining of lower quadrant abdominal pain for 1 day. Physical examination revealed that his penis size was normal, but a urethral orifice was located in the perineum area between the scrotum and anus. One small testicle was in the left scrotum, but no testicle was present on the right. The patient’s abdomen was bulging, and he had lower abdominal pain. According to the emergency CT scan, a lesion (74*65 mm) was found in the right pelvis between the bladder and rectum. The lesion showed an unclear boundary and hematocele appearance. The lesion was removed by emergency surgery, and the pathology report indicated a mixed germ cell tumor with a seminoma and yolk sac tumors. Conclusion This article is a case report of germ cell tumors in 46XY PGD patients. The literature review summarizes the clinical diagnosis, and a flowchart is provided for physicians in future practice. The importance of this report is that it will help acquaint physicians with this rare disease and make the right initial clinical decision quickly through the use of this flowchart. However, the variants of special subtypes of 46XY DSD are myriad, and all the diagnoses could not be covered in one flowchart.


Nephron ◽  
2021 ◽  
pp. 1-6
Author(s):  
Linlin Huang ◽  
Ting Shi ◽  
Ying Li ◽  
Xiaozhong Li

This is a case report of a girl with glutaric acidemia type I (GA-I) who experienced rhabdomyolysis and acute kidney injury (AKI). Her first acute metabolic crisis occurred at the age of 5 months, which mainly manifested as irritable crying, poor appetite, and hyperlactatemia. Mutation analysis showed 2 pathogenic mutations in the glutaryl-CoA dehydrogenase (GCDH) gene, which were c.383G>A (p.R128Q) and c.873delC (p.N291Kfs*41), the latter of which is a novel frameshift mutation of GA-I. She had a febrile illness at the age of 12 months, followed by AKI and severe rhabdomyolysis. Four days of continuous venovenous hemodiafiltration (CVVHDF) helped to overcome this acute decompensation. This case report describes a novel mutation in the GCDH gene, that is, c.873delC (p.N291Kfs*41). Also, it highlights the fact that patients with GA-I have a high risk of rhabdomyolysis and AKI, which may be induced by febrile diseases and hyperosmotic dehydration; CVVHDF can help to overcome this acute decompensation.


2016 ◽  
Vol 10 (4) ◽  
pp. 191-199 ◽  
Author(s):  
Helena C. Fabbri ◽  
Juliana G. Ribeiro de Andrade ◽  
Andréa T. Maciel-Guerra ◽  
Gil Guerra-Júnior ◽  
Maricilda P. de Mello

2013 ◽  
Vol 17 (7) ◽  
pp. 268 ◽  
Author(s):  
Sujoy Ghosh ◽  
Satinath Mukhopadhyay ◽  
Subhankar Chowdhury ◽  
Rakesh Arora ◽  
Saumik Datta ◽  
...  

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