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46,XX Testicular Disorders of Sex Development: Case Report

https://doi.org/10.15690/pf.v22i3.2917

Abstract

Background. The article presents a rare case report of sex development disorder (DSDs, 46-XX-male), demonstrating the need for timely diagnosis, conservative and surgical treatment, and emphasizes the importance of a multidisciplinary approach. Due to the low frequency of occurrence of this pathology at an early age, the description of a new case is of undoubted interest and scientific and practical significance.

Case Repot. A case report of a 12-year-old female patient diagnosed with 46,XX testicular disorder of sex development is presented. The stages of the diagnostic search, treatment methods depending on age, course of the disease, and response to therapy are described.

Conclusion. Patients diagnosed with disorders of sex development are recommended to be constantly monitored by doctors in order to prescribe and correct conservative therapy, resolve issues about surgical treatment methods, improve the quality of life and implement reproductive function.

About the Authors

Elena V. Sibirskaya
N.I. Pirogov Russian National Research Medical University; Russian Children’s Clinical Hospital; The Russian University of Medicine
Russian Federation

MD, PhD, Professor.

Moscow


Disclosure of interest:

Not declared



Irina V. Karachentsova
N.I. Pirogov Russian National Research Medical University; Russian Children’s Clinical Hospital
Russian Federation

MD, PhD.

1, Ostrovityanova Str., building 7, Moscow, 117997


Disclosure of interest:

Not declared



Aina S. Annakulieva
Russian Children’s Clinical Hospital
Russian Federation

MD.

Moscow


Disclosure of interest:

Not declared



Tamara N. Ivanovskaya
N.I. Pirogov Russian National Research Medical University; Russian Children’s Clinical Hospital
Russian Federation

MD, PhD.

Moscow


Disclosure of interest:

Not declared



Yuliya A. Kirillova
Russian Children’s Clinical Hospital
Russian Federation

MD.

Moscow


Disclosure of interest:

Not declared



Irina A. Melenchuk
Russian Children’s Clinical Hospital
Russian Federation

MD.

Moscow


Disclosure of interest:

Not declared



Alena A. Kovaleva
N.I. Pirogov Russian National Research Medical University
Russian Federation

Student.

Moscow


Disclosure of interest:

Not declared



References

1. Mantravadi KC, Rao DG. 46XX testicular disorder of sex development.j Hum Reprod Sci. 2021;14(4):436–438. doi: https://doi.org/10.4103/jhrs.jhrs_89_21

2. Salnikova IA, Uvarova EV, Kolodkina AA, et al. Disorder of sex development of the child registered in a female sex at birth. Reproduktivnoe zdorov’e detey i podrostkov = Reproductive Health of Children and Adolescents. 2018;14(3):92–103. (In Russ). doi: https://doi.org/10.24411/1816-2134-2018-13007

3. Mirakov KK, Volodko EA, Okulov AB, et al. Medicus. 2016;(2):122–124. (In Russ).

4. Kalinchenko NYu, Tiulpakov AN. Gonadal dysgenesis 46,XY DSD associated with variants in the MAP3K1 gene. Problems of Endocrinology. 2020;66(6):59–64. (In Russ). doi: https://doi.org/10.14341/probl12695

5. Andronik DI, Bashnina EB, Burtsev EA, et al. Printsip Lilit. K voprosu formirovaniya pola u cheloveka. St. Petersburg: Politech-Press; 2021. 382 p. (In Russ).

6. Shtaut MI, Sorokina TM, Kurilo LF, et al. Genetic and semen examination of patients with 46,XX testicular disorder of sex development. Andrologiya i genital’naya khirurgiya = Andrology and Genital Surgery. 2023;24(1):115–29. (In Russ). doi: https://doi.org/10.17650/2070-9781-2023-241-115-129

7. Otamuradov FA. Urogenital’nyy sinus u detey. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2020;10(3S):115. (In Russ).

8. Sannikova ES, Latyshev O.Yu, Samsonova LN, et al. De la Chapelle syndrome: clinical and laboratory characteristics of 4 patients. Problems of Endocrinology. 2017;63(2):124–126. (In Russ). doi: https://doi.org/10.14341/probl2017632124-126

9. Adamyan LV, Sibirskaya EV, Pivazyan LG, et al. Reproductive function in patients with disorders of sex development (literature review). Russian Journal of Human Reproduction. 2022;28(2):33–39. (In Russ). doi: https://doi.org/10.17116/repro20222802133

10. Granada ML, Audí L. The laboratory in the multidisciplinary diagnosis of differences or disorders of sex development (DSD) I) Physiology, classification, approach, and methodology II) Biochemical and genetic markers in 46,XX DSD. Adv Lab Med. 2021;2(4):468–480. doi: https://doi.org/10.1515/almed-2021-0042

11. Listyasari NA, Santosa A, Juniarto AZ. SRY-negative in 46,XX Male Testicular DSD: a case report.journal of Biomedicine and Translational Research [Online]. 2020;6(3):97–100. doi: https://doi.org/10.14710/jbtr.v6i3.9088

12. Alves C, Braid Z, Coeli FB, Mello MP. 46,XX male-testicular disorder of sexual differentiation (DSD): hormonal, molecular and cytogenetic studies. Arq Bras Endocrinol Metabol. 2010;54(8):685– 689. doi: https://doi.org/10.1590/s0004-27302010000800004

13. Sibirskaya EV, Ivanovskaya TN, Karachentsova IV, et al. Disgeneziya gonad: devochka s kariotipom 46, XY. Effektivnaya farmakoterapiya. 2023;19(7):96–97. (In Russ).

14. Petryaikina EE, Sibirskaya EV, Karachentsova IV, et al. Sindrom Ternera (klinicheskoe nablyudenie). Effektivnaya farmakoterapiya. 2023;19(7):97–98. (In Russ).


Review

For citations:


Sibirskaya E.V., Karachentsova I.V., Annakulieva A.S., Ivanovskaya T.N., Kirillova Yu.A., Melenchuk I.A., Kovaleva A.A. 46,XX Testicular Disorders of Sex Development: Case Report. Pediatric pharmacology. 2025;22(3):308-314. (In Russ.) https://doi.org/10.15690/pf.v22i3.2917

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ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)