Mosaic Turner Variant Adult Female Presenting with XO/XY Karyotype

Turner syndrome (TS) is the most frequently detected chromosomal abnormality in females caused by the partial or complete absence of second X chromosome. Due to varied phenotypical presentation, the diagnosis of TS can create a spectrum of clinical concerns related to morbidity and mortality. At lea...

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Main Authors: Sigin George, Vikas Karamchand Dagar, N. Nagaraja, Barun Kumar Chakrabarty
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Journal of Human Reproductive Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jhrs.jhrs_71_23
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author Sigin George
Vikas Karamchand Dagar
N. Nagaraja
Barun Kumar Chakrabarty
author_facet Sigin George
Vikas Karamchand Dagar
N. Nagaraja
Barun Kumar Chakrabarty
author_sort Sigin George
collection DOAJ
description Turner syndrome (TS) is the most frequently detected chromosomal abnormality in females caused by the partial or complete absence of second X chromosome. Due to varied phenotypical presentation, the diagnosis of TS can create a spectrum of clinical concerns related to morbidity and mortality. At least 10% of Turner females exhibit the presence of Y chromosome or Y-derived sequences. Patients with 45,X/46,XY mosaicism may have a phenotypic variation of the external genitalia and exhibit features ranging from normal male to ambiguous to female genitalia with features of TS. Turner mosaic variants with Y chromosome components have increased risk for gonadoblastoma. Although the risk is not exactly quantifiable, according to the 2016 Cincinnati International TS Meeting Clinical Practice guidelines, bilateral prophylactic gonadectomy is mandatory if Y chromosomal component is identified in mosaic Turner. We describe a rare case of an adult female patient detected as mosaic Turner variant with the presence of Y chromosome and reconfirmed by an aneuploidy FISH probe.
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institution Kabale University
issn 0974-1208
1998-4766
language English
publishDate 2023-07-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Human Reproductive Sciences
spelling doaj-art-29d5af0e530a40d1b8f1c940eb7525f72025-02-10T07:47:20ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662023-07-0116326026210.4103/jhrs.jhrs_71_23Mosaic Turner Variant Adult Female Presenting with XO/XY KaryotypeSigin GeorgeVikas Karamchand DagarN. NagarajaBarun Kumar ChakrabartyTurner syndrome (TS) is the most frequently detected chromosomal abnormality in females caused by the partial or complete absence of second X chromosome. Due to varied phenotypical presentation, the diagnosis of TS can create a spectrum of clinical concerns related to morbidity and mortality. At least 10% of Turner females exhibit the presence of Y chromosome or Y-derived sequences. Patients with 45,X/46,XY mosaicism may have a phenotypic variation of the external genitalia and exhibit features ranging from normal male to ambiguous to female genitalia with features of TS. Turner mosaic variants with Y chromosome components have increased risk for gonadoblastoma. Although the risk is not exactly quantifiable, according to the 2016 Cincinnati International TS Meeting Clinical Practice guidelines, bilateral prophylactic gonadectomy is mandatory if Y chromosomal component is identified in mosaic Turner. We describe a rare case of an adult female patient detected as mosaic Turner variant with the presence of Y chromosome and reconfirmed by an aneuploidy FISH probe.https://journals.lww.com/10.4103/jhrs.jhrs_71_2346x/46xyadult femalemosaicturner variantsy chromosome
spellingShingle Sigin George
Vikas Karamchand Dagar
N. Nagaraja
Barun Kumar Chakrabarty
Mosaic Turner Variant Adult Female Presenting with XO/XY Karyotype
Journal of Human Reproductive Sciences
46x/46xy
adult female
mosaic
turner variants
y chromosome
title Mosaic Turner Variant Adult Female Presenting with XO/XY Karyotype
title_full Mosaic Turner Variant Adult Female Presenting with XO/XY Karyotype
title_fullStr Mosaic Turner Variant Adult Female Presenting with XO/XY Karyotype
title_full_unstemmed Mosaic Turner Variant Adult Female Presenting with XO/XY Karyotype
title_short Mosaic Turner Variant Adult Female Presenting with XO/XY Karyotype
title_sort mosaic turner variant adult female presenting with xo xy karyotype
topic 46x/46xy
adult female
mosaic
turner variants
y chromosome
url https://journals.lww.com/10.4103/jhrs.jhrs_71_23
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AT vikaskaramchanddagar mosaicturnervariantadultfemalepresentingwithxoxykaryotype
AT nnagaraja mosaicturnervariantadultfemalepresentingwithxoxykaryotype
AT barunkumarchakrabarty mosaicturnervariantadultfemalepresentingwithxoxykaryotype