Journal of the Formosan Medical Association (Jan 2015)

An isodicentric X chromosome with gonadal dysgenesis in a lady without prominent somatic features of Turner's syndrome. A case report

  • Tse-Ya Yu,
  • Huan-Sheng Lin,
  • Pei-Lung Chen,
  • Tien-Shang Huang

DOI
https://doi.org/10.1016/j.jfma.2011.05.011
Journal volume & issue
Vol. 114, no. 1
pp. 77 – 80

Abstract

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Isodicentric X chromosomes in general have phenotypes characteristic of the resultant X deletions. Gonadotropin levels in Turner's syndrome (TS) girls are high, but have a normal biphasic pattern. Here, we report a 21-year-old lady with primary amenorrhea. Clinical examination revealed a short neck but no other typical stigmata of Turner's syndrome. The levels of gonadotropin were not raised to post-menopausal levels. A chromosome study showed a 45,X/46,X,idic(X)(q22) karyotype. She was diagnosed as having Turner's syndrome.

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