2014
DOI: 10.1002/ajhb.22545
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New studies of second and fourth digit ratio as a morphogenetic trait in subjects with congenital adrenal hyperplasia

Abstract: These finding support the idea that sexual dimorphism in skeletal development in early fetal life is associated with differences between the exposure to androgens in males and females, and significant differences associated with adrenal hyperplasia. Although the effects of prenatal androgens on skeletal developmental are supported by numerous studies, further investigation is yet required to clarify the disease and establish the digit ratio as a biomarker for CAH.

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Cited by 32 publications
(40 citation statements)
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“…First, men and women with congenital adrenal hyperplasia (CAH), a condition leading to hyper-secretion of testosterone, have decreased 2D:4D ratios (Brown et al, 2002; Buck et al, 2003; Ökten et al, 2002; Rivas et al, 2014). Second, men with Klinefelter’s syndrome, a chromosomal abnormality associated with low androgen levels, have higher (i.e., feminized) 2D:4D ratio relative to healthy men (Manning et al, 2013).…”
Section: Introductionmentioning
confidence: 99%
“…First, men and women with congenital adrenal hyperplasia (CAH), a condition leading to hyper-secretion of testosterone, have decreased 2D:4D ratios (Brown et al, 2002; Buck et al, 2003; Ökten et al, 2002; Rivas et al, 2014). Second, men with Klinefelter’s syndrome, a chromosomal abnormality associated with low androgen levels, have higher (i.e., feminized) 2D:4D ratio relative to healthy men (Manning et al, 2013).…”
Section: Introductionmentioning
confidence: 99%
“…Analysis of samples from routine amniocentesis have shown that low 2D:4D correlates with high concentrations of testosterone relative to estrogen (Lutchmaya, Baron-Cohen, Raggatt, Knickmeyer, & Manning, 2004), and hormones such as androgens can transfer from males to females in utero, with females from opposite-sex twins having lower 2D:4D than females from samesex twins ( van Anders, Vernon, & Wilbur, 2006). Moreover, females with congenital adrenal hyperplasia have been shown to have a lower 2D:4D than healthy control females (Brown, Hines, Fane, & Breedlove, 2002;Honekopp & Watson, 2010;Okten, Kalyoncu, & Yaris, 2002;Rivas et al, 2014). Additionally, several other studies have found that males have a significantly lower 2D:4D than females (Branas-Garza, Kovářík, & Neyse, 2013;Grimbos, Dawood, Burriss, Zucker, & Puts, 2010;Honekopp & Watson, 2010;Manning et al, 2000;Manning & Fink, 2011).…”
Section: Introductionmentioning
confidence: 91%
“…Reliability is also a problem in studies of 2D:4D in girls with CAH, who would have been exposed to high levels of testosterone beginning early in gestation (Brown, Hines, Fane, & Breedlove, 2002; Buck, Williams, Hughes, & Acerini, 2003; Ökten, Kalyoncu, & Yariş, 2002; Rivas et al, 2014). Though Brown et al found that girls with CAH had lower 2D:4D than unaffected girls, their sample size was small ( N  = 13 girls with CAH), making it difficult to generalize to much larger normative populations.…”
Section: Normative Development: Longitudinal Data Biomarkers and Twinsmentioning
confidence: 99%