A unique case of growth hormone and human chorionic gonadotropin treatment in a 45,X male with Y: autosome translocation and literature review

Author:

Mareri Arianna,Iezzi MariaLaura,Salvatore Alessia,Ligas Claudio,D’Alessandro Elvira

Abstract

AbstractMaleness associated with a 45,X karyotype is a rare condition in childhood. It is usually diagnosed in adult age because of infertility. We report a unique case of an unbalanced translocation t(Y;21) in a 14-year-old boy with 45,X karyotype referred because of short stature, thin habitus and puberty delay. Hormone analysis showed low serum levels of basal testosterone, insulin-like growth factor (IGF-I) and gonadotrophins. Diagnosis of GH deficiency and puberty delay were made. He was treated with human chorionic gonadotropin (hCG) and GH therapy, respectively, for 6 and 24 months.

Publisher

Walter de Gruyter GmbH

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology and Child Health

Reference84 articles.

1. A 45,X male with a Yp/18 translocation;Hum Genet,1986

2. Microdeletion in interval 6 of the Y chromosome of males with idiopathic sterility point to disruption of AZF, a human spermatogenesis gene;Hum Genet,1992

3. Human Y chromosome azoospermia factors (AZF) mapped to different subregions in Yq11;Hum Mol Genet,1996

4. Prenatal diagnosis of a 45,X male with a SRY-bearingchromosome 21;Prenat Diagn,2002

5. Case report: long-term follow-up of a 45,X male with SHOX haploinsufficiency;J Pediatr Endocrinol Metab,2015

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