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A 47,XXY female with unusual genitalia

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Abstract

A 47,XXY karyotype was found in a 6-year-old girl. The patient had female external genitalia, clitoromegaly, remnants of the ductus mesonephricus, uterus, and gonads in the labia majora which were determined to be testes by histology. Cytogenetic and DNA analyses suggest that the Y chromosome had a normal structure and that both X chromosomes were of maternal origin. The unusual clinical findings in the patient are discussed.

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References

  • Arnemann J, Cooke HJ, Jakubiczka S, Schmidtke J (1985) Human Y-chromosome derived cloned DNA sequences (8th International Workshop on Human Gene Mapping). Cytogenet Cell Genet 40:571

    Google Scholar 

  • Bartsch-Sandhoff M, Stephan L, Röhrborn G Pawlowitzki IH, Scholz W (1976) Ein Fall von testiculärer Feminisierung mit dem Karyotyp 47,XXY. Hum Genet 31:59–65

    Google Scholar 

  • Berta P, Hawkins JR, Sinclair AH, Taylor A, Griffiths B, Goodfellow PN, Fellous M (1990) Genetic evidence equating SRY and the testis determining factor. Nature 348:448–450

    Google Scholar 

  • Bishop C, Guellaen G, Geldwerth D, Fellous M, Weissenbach J (1984) Extensive sequence homologies between Y and other chromosomes. J Mol Biol 173:403–417

    Google Scholar 

  • Brown CJ, Goss SJ, Lubahn DB, Joseph DR, Wilson EM, French FS, Willard HF (1989) Androgen receptor locus on the human X chromosome: regional localization to Xq11–12 and description of a DNA polymorphism. Am J Hum Genet 44:264–269

    Google Scholar 

  • Caspersson T, Zech L, Johannson C, Modest EJ (1970) Identification of human chromosomes by DNA-binding fluorescent agents. Chromosoma 30:215–277

    Google Scholar 

  • Cooke H (1976) Repeated sequence specific to human males. Nature 262:182–186

    Google Scholar 

  • Feinberg AP, Vogelstein B (1984) A technique for radiolabeling DNA restriction endonuclease fragments to high specific activity. Anal Biochem 137:266–267

    CAS  PubMed  Google Scholar 

  • Fraser NJ, Boyd Y, Brownlee GG, Craig IW (1987) Multi-allelic RFLP for M27β, an anonymous single copy genomic clone at Xp11.3-Xcen (HGM provisional no. DXS255). Nucleic Acids Res 15:9616

    Google Scholar 

  • Geldwerth D, Bishop C, Guellaen G, Koenig M, Vergnaud G, Mandel JL, Weissenbach J (1985) Extensive DNA sequence homologies between the human Y and the long arm of the X chromosome. EMBO J 4:1739–1743

    Google Scholar 

  • Gerli M, Migliorini G, Bocchini V, Venti G, Ferrarese R, Donti E, Rosi G (1979) A case of complete testicular feminization and 47,XXY karyotype. J Med Genet 16:480–483

    Google Scholar 

  • German J, Vesell M (1966) Testicular feminization in monozygotic twins with 47 chromosomes (XXY). Ann Genet 9:5–8

    Google Scholar 

  • German J, Simpson JL, Morillo-Cucci G, Passarge E, Demayo AP (1973) Testicular feminization and inguinal hernia. Lancet I:891

    Google Scholar 

  • Guellaen G, Casanova M, Bishop C, Geldwerth D, Andre G, Fellous M, Weissenbach J (1984) Human XX males with single-copy DNA fragments. Nature 307:172–173

    Google Scholar 

  • Hassold T, Jacobs PA (1984) Trisomy in man. Annu Rev Genet 18:69–97

    Google Scholar 

  • Hawkins JR, Taylor A, Berta P, Levilliers J, van der Auwera B, Goodfellow PN (1992) Mutational analysis of SRY: nonsense and missense mutations in XY sex reversal. Hum Genet 88:471–474

    Google Scholar 

  • Hook EB, Hamerton JL (1977) The frequency of chromosome abnormalities detected in consecutive newborn studies. In: Hook EB, Porter IH (eds) Population cytogenetics. Academic Press, New York, pp 63–79

    Google Scholar 

  • Jacobs PA, Strong JA (1959) A case of human intersexuality having a possible XXY sex determining mechanism. Nature 183:302–303

    Google Scholar 

  • Jacobs PA, Hassold TJ, Whittington E, Butler G, Collyer S, Keston M, Lee M (1988) Klinefelter's syndrome: an analysis of the origin of the additional sex chromosome using molecular probes. Ann Hum Genet 52:93–109

    Google Scholar 

  • Jagiello G, Atwell JD (1962) Prevalence of testicular feminization. Lancet 1:329

    Google Scholar 

  • Jäger RJ, Anvret M, Hall K, Scherer G (1990) A human XY female with a frameshift mutation in SRY, a candidate testis determining gene. Nature 348:452–454

    Google Scholar 

  • Mahtani MM, Willard HF (1988) A primary genetic map of the pericentromeric region of the human X chromosome. Genomics 2:294–301

    Google Scholar 

  • Morris JM (1953) The syndrome of testicular feminization in male pseudohermaphrodites. Am J Obstet Gynecol 65:1192–1211

    Google Scholar 

  • Müller U, Donion TA, Kunkel SM, Lalande M, Latt SA (1987) Y-190, a DNA probe for the sensitive detection of Y-derived marker chromosomes and mosaicism. Hum Genet 75:109–113

    Google Scholar 

  • Müller U, Schneider NR, Marks JF, Kupke KG, Wilson GN (1990) Maternal meiosis II nondisjunction in a case of 47,XXY testicular feminization. Hum Genet 84:289–292

    Google Scholar 

  • Page DC, Harper ME, Love J, Botstein D (1984) Occurrence of a transposition from the X-chromosome long arm to the Y-chromosome short arm during human evolution. Nature 311:119–123

    Google Scholar 

  • Pearson PL, Kidd KK, Willard HF (1987) Human gene mapping by recombinant DNA techniques. (9th International Workshop on Human Gene Mapping) Cytogenet Cell Genet 46:390–566

    Google Scholar 

  • Pergament E, Heimler A, Snap P (1973) Testicular feminization and inguinal hernia. Lancet II:740–741

    Google Scholar 

  • Schinzel A (1984) Catalogue of unbalanced chromosome aberrations in man. de Gruyter, New York Berlin, pp 790–793

    Google Scholar 

  • Schmid M, Guttenbach M, Nanda I, Studer R, Epplen JT (1990) Organization of DYZ2 repetitive DNA on the human Y chromosome. Genomics 6:212–218

    Google Scholar 

  • Schweizer D, Ambros P, Andrle M (1978) Modification of DAPI banding on human chromosomes by prestaining with a DNA binding oligopeptide antibiotic, distamycin A. Exp Cell Res 111:327–332

    Google Scholar 

  • Sinclair HA, Berta P, Palmer MS, Hawkins JR, Griffiths B, Smith M, Foster J, Frischauf A-M, Lovell-Badge R, Goodfellow PN (1990) A gene from the human sex-determining region encodes a protein with homology to a conserved DNA-binding motif. Nature 346:240–244

    Google Scholar 

  • Sumner AT (1972) A simple technique for demonstrating centromeric heterochromatin. Exp Cell Res 75:304–306

    CAS  PubMed  Google Scholar 

  • Willard HF, Smith KD, Sutherland J (1983) Isolation and characterization of a major tandem repeat family from the human X chromosome. Nucleic Acids Res 11:2017–2033

    Google Scholar 

  • Yang TP, Hansen SK, Oishi KK, Ryder OA, Hamkalo BA (1982) Characterization of a cloned repetitive DNA sequence concentrated on the human X chromosome. Proc Natl Acad Sci USA 79:6593–6597

    Google Scholar 

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Dedicated to Professor Ulrich Wolf on the occasion of his 60th birthday

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Schmid, M., Guttenbach, M., Enders, H. et al. A 47,XXY female with unusual genitalia. Hum Genet 90, 346–349 (1992). https://doi.org/10.1007/BF00220456

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  • DOI: https://doi.org/10.1007/BF00220456

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