A Rare Case with Sex Developmental Disorder

Document Type : Case Report

Authors

1 Professor of Pediatric Endocrinology, Department of Pediatrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan

2 Associate Professor of Pediatrics, Department of Pediatrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan

3 Student of Pediatric Endocrinology, Department of Pediatrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan

4 Assistant Professor of Pediatric Endocrinology, Department of Pediatrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan

Abstract

Background:
Disorder of sex development (DSD) is defined as a congenital mismatch between sex phenotype, gonadal and sex chromosome, which mainly present with atypical genital appearance or ambiguous genitalia. It consider as a medical emergency and the cases should be evaluate immediately for detection of life threatening conditions and determination of gender.

Case Report:
We report a 50 days old infant with 49,XXXXY syndrome presenting with ambiguous genitalia.

Conclusion:
49,XXXXY syndrome is a rare sex chromosome aneuploidy disorder, which represented with its “classical triad” consists of mental retardation, radioulnar synostosis and hypogonadism.

Key words: Disorder of sex development, Ambiguous genitalia, Facial dysmorfism, 49,xxxxy syndrome.