TY - JOUR
TI - A Rare Case of a Male with 45, XO, SRY+, ZFY+ with Short Stature and Mild Turner Stigmata
AU - Ntali, G.
AU - Sofocleous, C.
AU - Kouvidi, E.
AU - Tsagaraki, G.
AU - Dolianiti, M.
AU - Kaimara-Papathanasiou, A.
AU - Fryssira, H.
JO - Hormone Research in Paediatrics
PY - 2012
VL - 78
TODO - 2
SP - 127-134
PB - 
SN - 1663-2818
TODO - 10.1159/000339157
TODO - growth hormone;  recombinant growth hormone, body height;  case report;  child;  chromosomal localization;  chromosome analysis;  conference paper;  DNA sequence;  fluorescence in situ hybridization;  gene;  genotype phenotype correlation;  growth acceleration;  haploinsufficiency;  human;  human tissue;  immunohistochemistry;  karyotype;  laboratory test;  male;  physical examination;  preschool child;  priority journal;  short stature;  SHOX gene;  SRY gene;  testis biopsy;  treatment response;  Turner syndrome;  X chromosome;  Y chromosome, Child, Preschool;  Chromosome Deletion;  Chromosomes, Human, X;  Homeodomain Proteins;  Humans;  Kruppel-Like Transcription Factors;  Male;  Noonan Syndrome;  Sex-Determining Region Y Protein
TODO - Background: Turner syndrome is hypothesized to result from haploinsufficiency of certain genes expressed from both sex chromosomes that escape X inactivation. Case Report: We present the rare case of a 4-year-old boy who was referred to the pediatric endocrinology unit for evaluation of slight growth delay. Results: Standard cytogenetic analysis showed a 45,XO karyotype. Molecular studies disclosed the presence of an intact SRY homeobox region and the ZFY region sited on the Y short arm. Other Y chromosome sequences which are normally found on the short arm of chromosome Y (p) were absent and their exact location on a different chromosome remained unclear. Subsequently, FISH (fluorescent in situ hybridization) analysis failed to detect any Y sequences, while haplotype analysis indicated that the present X chromosome was of paternal origin. Conclusion: Phenotype-genotype correlation studies were consistent with a male patient presenting with short stature and some of the Turner's syndrome stigmata. The consequences for the patients with this chromosomal abnormality and treatment with recombinant growth hormone are also discussed. Copyright © 2012 S. Karger AG, Basel.
ER -