Clinical and endocrine spectrum in patients with the 45,X/46,XY karyotype

Hum Genet. 1981;58(4):373-6. doi: 10.1007/BF00282818.

Abstract

Cytogenetic and endocrine studies were performed in five unrelated 45,X/46,XY individuals in an attempt to correlate them with their clinical expression and gonadal morphology. A lack of a consistent pattern between cytogenetic findings and phenotype was observed. Endocrine studies revealed a wide spectrum of hypothalamic, pituitary, and gonadal hormone production as assessed by the base line levels of LH, FSH, T, and delta 4-A and their responses to appropriate exogenous stimulation (LH-RH and HCG). An adequate correlation between endocrine findings with gonadal morphology and phenotype could be established; thus demonstrating that patients with this particular chromosome complement have a functional integrity of the gonadotropin hypothalamic pituitary activity modulated accordingly with the gonadal function of each particular case.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Chromosome Banding
  • Chromosomes / ultrastructure
  • Disorders of Sex Development / blood
  • Disorders of Sex Development / genetics*
  • Female
  • Follicle Stimulating Hormone / blood
  • Humans
  • Karyotyping
  • Luteinizing Hormone / blood
  • Male
  • Phenotype
  • Sex Chromosome Aberrations / genetics
  • Testosterone / blood

Substances

  • Testosterone
  • Luteinizing Hormone
  • Follicle Stimulating Hormone