2013
DOI: 10.4103/2230-8210.119605
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Coexistence of gonadal dysgenesis and Mayer-Rokitansky-Kuster-Hauser syndrome in 46, XX female: A case report and review of literature

Abstract: The association of gonadal dysgenesis and Mayer-Rokitansky-Kuster-Hauser syndrome is very rare. We report a 21-year-old phenotypical female who presented with primary amenorrhea and underdeveloped secondary sexual characteristics. Hormonal evaluation revealed hypergonadotropic hypogonadism. Her karyotype was 46XX. Laparoscopy of pelvis revealed absent uterus, normal fallopian tubes and bilateral streak ovaries, which were biopsied and histopathology was consistent with the findings of gonadal dysgenesis. We se… Show more

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Cited by 13 publications
(14 citation statements)
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References 17 publications
(91 reference statements)
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“…There have been case reports on thumb abnormalities and loss of thenar eminence which were also seen in our patient [12,13]. Association between ovarian dysgenesis and MRKH has also been reported in the literature, though most MRKH women have normal ovarian function [14]. Ovaries were absent in our patient, and hence, she needs management of ovarian dysgenesis with hormone replacement therapy.…”
Section: Discussionsupporting
confidence: 65%
“…There have been case reports on thumb abnormalities and loss of thenar eminence which were also seen in our patient [12,13]. Association between ovarian dysgenesis and MRKH has also been reported in the literature, though most MRKH women have normal ovarian function [14]. Ovaries were absent in our patient, and hence, she needs management of ovarian dysgenesis with hormone replacement therapy.…”
Section: Discussionsupporting
confidence: 65%
“…MRKH syndrome may have associated abnormalities such as renal agenesis, skeletal abnormalities, hearing loss, or cardiac defects. [ 8 9 ] In our case, the right renal agenesis was the associated finding of MRKH syndrome with alopecia which is not observed in all the previous four case reports under review.…”
Section: Discussionmentioning
confidence: 41%
“…All patients except one presented in adult age with primary amenorrhoea and underdeveloped secondary sexual characteristics. In eight cases,2–4 7–11 there was a history of consanguinity. Five cases have a positive family history of Mullerian and gonadal agenesis.…”
Section: Discussionmentioning
confidence: 99%