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A case report - jacob syndrome (45X/47XXY MOSAICISM)
Author(s):
1. Suleman Elahi Malik: Endocrinology Division, Department of Medical Specialties, MTI Khyber Teaching Hospital, Peshawar -, Pakistan
2. Nayab Munib: Department of Medicine, MTI Khyber Teaching Hospital,Peshawar -,Pakistan
3. Javeria Javed: Department of Medicine, MTI Khyber Teaching Hospital,Peshawar -,Pakistan
4. Zabia Jehandad: Department of Medicine, MTI Khyber Teaching Hospital,Peshawar -,Pakistan
5. Iqbal Haider: Department of Medicine, MTI Khyber Teaching Hospital,Peshawar -,Pakistan
Abstract:
Objective: XYY syndrome is a rare chromosomal aneuploidy that affects males with an incidence of 1 in 1000. Males with this syndrome typically appear normal and have normal sexual responsiveness and fertility. However, they may be taller than average and have a variable risk of cognitive and behavioral deficits. Herein, we report a rare case of XYY aneuploidy presenting with ambiguous genitalia which was initially treated as congenital adrenal hyperplasia. A 7-month-old infant was referred by a pediatrician to the Endocrine Out-patients' department with complaints of ambiguous genitalia by his parents and undescended testes after taking the consent detailed history was taken and a previous medical record was reviewed followed by a detailed examination done. As the suspicion of the chromosomal defect was raised, the patient was advised to do karyotyping. The karyotyping counted 30 cells: 21 cells showed 45 while 09 cells showed 47 chromosomes. thus, the diagnosis of Jacobs syndrome was made and confirmed. Most cases of 47XYY syndrome are not inherited but arise as a random event, mostly by paternal disjunction at meiosis II. However, most patients live a normal life, only requiring conservative management of their behavioral deficits.
Page(s): 157-159
DOI: DOI not available
Published: Journal: Journal of Medical Science, Volume: 31, Issue: 2, Year: 2023
Keywords:
karyotyping , Aneuploidy , 47XYY , Chromosomes abnormality , Nondisjunction
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