The spectrum of 45,X/46,XY mosaicism in Taiwanese children: The experience of a single center

Yen Chun Huang, Cheng Ting Lee, Mu Zon Wu, Shih Yao Liu, Yi Ching Tung, Hong Nerng Ho, Wen Yu Tsai

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background/Purpose: 45,X/46,XY mosaicism is a rare sex chromosome abnormality. Here, we present our experience in the management of 45,X/46,XY Taiwanese children. Patients and Methods: We enrolled 19 patients from January 1981 to September 2016. The diagnosis of 45,X/46,XY mosaicism was made by karyotyping peripheral blood lymphocytes. All medical records were thoroughly reviewed. Results: Of the 19 patients, 16 were reared as females and 3 as males. The age at diagnosis ranged from 1 month to 15 years and 9 months. Atypical genitalia, short stature, and Turner stigmata were common manifestations. No patient exhibited a cardiac malformation but 29% had renal malformations and 12.5% had autoimmune thyroid disease who developed thyroid dysfunction later. Nine girls with short stature received growth hormone therapy and their height standard deviation score rose from −3.4 ± 1.1 to −1.4 ± 0.9 in adulthood (P < 0.01). The gonadal phenotypes included bilateral streak gonads in nine patients, a streak gonad with contralateral gonadal agenesis in one, mixed gonadal dysgenesis in five, bilateral dysgenetic testes in two, and bilateral gonadoblastomas in one. Conclusion: The 45,X/46,XY phenotype varies widely and a high index of suspicion is important to ensure early diagnosis. Cardiac and renal malformations should be screened ultrasonically at diagnosis and thyroid status should be monitored annually. Growth hormone effectively improves adult height in short girls. Prophylactic gonadectomy is indicated for those with intra-abdominal streaks or dysgenetic gonads to prevent the development of a malignancy.

Original languageEnglish
Pages (from-to)450-456
Number of pages7
JournalJournal of the Formosan Medical Association
Volume118
Issue number1P3
DOIs
Publication statusPublished - Jan 1 2019

Fingerprint

Mosaicism
Gonads
Growth Hormone
Thyroid Gland
Mixed Gonadal Dysgenesis
Sex Chromosome Aberrations
Gonadoblastoma
Gonadal Dysgenesis
Phenotype
Kidney
Christianity
Karyotyping
Genitalia
Thyroid Diseases
Autoimmune Diseases
Medical Records
Testis
Early Diagnosis
Lymphocytes
Neoplasms

Keywords

  • 45,X/46,XY mosaicism
  • Gonadoblastoma
  • Growth hormone therapy
  • Mixed gonadal dysgenesis
  • Turner syndrome

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The spectrum of 45,X/46,XY mosaicism in Taiwanese children : The experience of a single center. / Huang, Yen Chun; Lee, Cheng Ting; Wu, Mu Zon; Liu, Shih Yao; Tung, Yi Ching; Ho, Hong Nerng; Tsai, Wen Yu.

In: Journal of the Formosan Medical Association, Vol. 118, No. 1P3, 01.01.2019, p. 450-456.

Research output: Contribution to journalArticle

Huang, Yen Chun ; Lee, Cheng Ting ; Wu, Mu Zon ; Liu, Shih Yao ; Tung, Yi Ching ; Ho, Hong Nerng ; Tsai, Wen Yu. / The spectrum of 45,X/46,XY mosaicism in Taiwanese children : The experience of a single center. In: Journal of the Formosan Medical Association. 2019 ; Vol. 118, No. 1P3. pp. 450-456.
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