Evidence map›Paper›PMID 38715086›Full record

ArticleItalian journal of pediatrics2024

Phenotypic variability and management of patients with mosaic monosomy X and Y chromosome material: a case series.

Myriam Ben Fredj, Marwa Messaoud, Sabrine Ben Youssef, Salma Mani, Syrine Laaribi, Rania Sakka, Hayet Ben Hmida, Amine Ksiaa, Mongi Mekki, Mohsen Belghith and 1 more

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Article in Italian journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

11 authors.

Myriam Ben FredjUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia. Myriam.benfredj@yahoo.fr.ORCID http://orcid.org/0009-0009-7584-253X
Marwa MessaoudUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.
Sabrine Ben YoussefUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.
Salma ManiUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.
Syrine LaaribiUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.
Rania SakkaUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.
Hayet Ben HmidaUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.
Amine KsiaaUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.
Mongi MekkiUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.
Mohsen BelghithUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.
Lassaad SahnounUniversity of Monastir Faculty of Medicine of Monastir, Université de Monastir faculté de medicine de Monastir, Monastir, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundwe aim to discuss the origin and the differences of the phenotypic features and the management care of rare form of disorder of sex development due to Mosaic monosomy X and Y chromosome materiel.

methodsWe report our experience with patients harboring mosaic monosomy X and Y chromosome material diagnosed by blood cells karyotypes and cared for in our department from 2005 to 2022.

resultsWe have included five infants in our study. The current average age was 8 years. In four cases, the diagnosis was still after born and it was at the age of 15 years in one case. Physical examination revealed a variable degree of virilization, ranging from a normal male phallus with unilateral ectopic gonad to ambiguous with a genital tubercle and bilateral not palpable gonads in four cases and normal female external genitalia in patient 5. Karyotype found 45, X/46, XY mosaicism in patient 1 and 2 and 45, X/46, X, der (Y) mosaicism in patient 3, 4 and 5. Three cases were assigned to male gender and two cases were assigned to female. After radiologic and histologic exploration, four patients had been explored by laparoscopy to perform gonadectomy in two cases and Mullerian derivative resection in the other. Urethroplasty was done in two cases of posterior hypospadias. Gender identity was concordant with the sex of assignment at birth in only 3 cases.

conclusionBecause of the phenotypic heterogeneity of this sexual disorders and the variability of its management care, then the decision should rely on a multidisciplinary team approach.

Indexed as

Chromosomes, Human, YMosaicismPhenotypeAdolescentChildChild, PreschoolChromosomes, Human, XDisorders of Sex DevelopmentFemaleHumansInfantKaryotypingMaleMonosomyTurner Syndrome45X4646XY; 45XDer(Y); mosaicism; phenotype; MonosomyDisorder of sex developmentX

Identifiers

PMID38715086
PMCPMC11077738

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