Objective: To describe a case of XY karyotype and female phenotype.
Conclusions: This is a rare syndrome. Some differences between this syndrome, transexualim and hermaproditism are explained, and the clinical, including psychological implications, are then discussed. The need for psychological assessment and intervention for the child and the family is highlighted as well as some cultural issues pertinent to the present case.
HaqqC MDonahoeP K. Regulation of sexual dimorphism in mammals. Physiological Reviews1998; 78: 1–33
2.
SolyomJKontorEGlazE, . 17 beta-hydroxysteroid dehydrogenase defect: Female phenotype with 46 XY karyotype. Orvosi Hetilap1996; 137: 807–810
3.
AngleBHerschJ HYenFVerdiG D. XY gonadal dysgenesis associated with a multiple pterygium syndrome phenotype. American Journal of Medical Genetics1997; 68: 7–11
4.
SudikRJakubiczkaSNawrothFGilbergEWieackerP F. Chimerism in a fertile woman with 46 XY karyotype and female phenotype. Human Reproduction2001; 16: 56–58
5.
KrsticZ DSmoljanicZVukanicD, . True hermaphroditism: 10 years experience. International Pediatric Surgery2000; 16: 580–583
6.
PortuondoJ ANeyroJ LBarrolAGonzalez-GorospeF JA. Benito management of phenotypic female patients with an XY karyotype. Journal of Reproductive Medicine1986; 31: 611–615
7.
BirnbacherRMarbergerMWeissenbacherGSchoberEFrischH. Gender identity reversal in an adolescent with mixed gonadal dysgenesis. Journal of Pediatric Endocrinological Metabolism1999; 12: 687–690, (Suppl. 2)
8.
DonahoeP KCrawfordJ DHendrenW H. Mixed gonadal dysgenesis, pathogenesis and management. Journal of Pediatric Surgery1979; 14: 287–300
9.
FedermanD DDonahoeP K. Ambiguous genitalia-etiology, diagnosis and therapy. Advances in Endocrinological Metabolism1995; 6: 91–116
10.
LeowM KLohK C. 46 XY female: A case report. Annals of the Academic Medical Journal of Singapore2001; 30: 71–75