Short Stature on a Boy: Mosaicism with an Isodicentric Y Chromosome

Mosaicism brings great variability into the clinical expression of numerical and structural chromosomal abnormalities. The phenotypic variability of 45,X/46,XY mosaicism extends from Turner syndrome to apparently physically normal males. We present a case of a 14-year-old adolescent with short statu...

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Main Authors: Catarina Silvestre, Juliette Dupont, Rosário Silveira Santos, Brígida Robalo, Carla Pereira, Maria Lurdes Sampaio
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2019/8563095
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author Catarina Silvestre
Juliette Dupont
Rosário Silveira Santos
Brígida Robalo
Carla Pereira
Maria Lurdes Sampaio
author_facet Catarina Silvestre
Juliette Dupont
Rosário Silveira Santos
Brígida Robalo
Carla Pereira
Maria Lurdes Sampaio
author_sort Catarina Silvestre
collection DOAJ
description Mosaicism brings great variability into the clinical expression of numerical and structural chromosomal abnormalities. The phenotypic variability of 45,X/46,XY mosaicism extends from Turner syndrome to apparently physically normal males. We present a case of a 14-year-old adolescent with short stature and delayed puberty, who was admitted in a Paediatric Endocrinology outpatient clinic. After a careful investigation, he was found to have a 45,X/46,X,idic(Y)(p11.32) mosaicism. This case report emphasizes the wide range of etiologies that can be involved in short stature and that chromosomal study is an important tool when firstly approaching males with short stature, avoiding unnecessary tests. There is an important clinical need for gonadal follow-up in this situation and for support in the decision about sex of rearing and sex orientation, when justifiable.
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institution Kabale University
issn 2090-6803
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language English
publishDate 2019-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-e52befb2d9324dc8a9c75b6d6cc7d49a2025-02-03T01:21:12ZengWileyCase Reports in Pediatrics2090-68032090-68112019-01-01201910.1155/2019/85630958563095Short Stature on a Boy: Mosaicism with an Isodicentric Y ChromosomeCatarina Silvestre0Juliette Dupont1Rosário Silveira Santos2Brígida Robalo3Carla Pereira4Maria Lurdes Sampaio5Department of Endocrinology, Diabetes and Metabolism, Santa Maria Hospital, Lisbon, PortugalDepartment of Human Genetics, Santa Maria Hospital, Lisbon, PortugalDepartment of Human Genetics, Santa Maria Hospital, Lisbon, PortugalPediatric Endocrinology Unit from Department of Pediatrics, Santa Maria Hospital, Lisbon, PortugalPediatric Endocrinology Unit from Department of Pediatrics, Santa Maria Hospital, Lisbon, PortugalPediatric Endocrinology Unit from Department of Pediatrics, Santa Maria Hospital, Lisbon, PortugalMosaicism brings great variability into the clinical expression of numerical and structural chromosomal abnormalities. The phenotypic variability of 45,X/46,XY mosaicism extends from Turner syndrome to apparently physically normal males. We present a case of a 14-year-old adolescent with short stature and delayed puberty, who was admitted in a Paediatric Endocrinology outpatient clinic. After a careful investigation, he was found to have a 45,X/46,X,idic(Y)(p11.32) mosaicism. This case report emphasizes the wide range of etiologies that can be involved in short stature and that chromosomal study is an important tool when firstly approaching males with short stature, avoiding unnecessary tests. There is an important clinical need for gonadal follow-up in this situation and for support in the decision about sex of rearing and sex orientation, when justifiable.http://dx.doi.org/10.1155/2019/8563095
spellingShingle Catarina Silvestre
Juliette Dupont
Rosário Silveira Santos
Brígida Robalo
Carla Pereira
Maria Lurdes Sampaio
Short Stature on a Boy: Mosaicism with an Isodicentric Y Chromosome
Case Reports in Pediatrics
title Short Stature on a Boy: Mosaicism with an Isodicentric Y Chromosome
title_full Short Stature on a Boy: Mosaicism with an Isodicentric Y Chromosome
title_fullStr Short Stature on a Boy: Mosaicism with an Isodicentric Y Chromosome
title_full_unstemmed Short Stature on a Boy: Mosaicism with an Isodicentric Y Chromosome
title_short Short Stature on a Boy: Mosaicism with an Isodicentric Y Chromosome
title_sort short stature on a boy mosaicism with an isodicentric y chromosome
url http://dx.doi.org/10.1155/2019/8563095
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