PMID- 11384655 OWN - NLM STAT- MEDLINE DCOM- 20010628 LR - 20190707 IS - 0015-0282 (Print) IS - 0015-0282 (Linking) VI - 75 IP - 6 DP - 2001 Jun TI - A case of 46,X,der(X)(pter-->q21::p21-->pter) with gonadal dysgenesis, tall stature, and endometriosis. PG - 1224-5 AB - OBJECTIVE: To report a case of 46,X,der(X)(pter-->q21::p21-->pter) with gonadal dysgenesis, tall stature, and endometriosis. DESIGN: Case report. SETTING: A university hospital. PATIENT(S): A 20-year-old primary amenorrheal woman receiving estrogen-progestogen substitution. INTERVENTION(S): G-banding, comparative genomic hybridization, fluorescence in situ hybridization (FISH), and laparoscopy. MAIN OUTCOME MEASURE(S): A recombinant X chromosome, 46,X,der(X)(pter-->q21::p21-->pter), and pelvic endometriosis. RESULT(S): The patient's chromosomal abnormality was misjudged by the use of G-banding as a distal part deletion of the long arm in one X chromosome. Comparative genomic hybridization and fluorescence in situ hybridization analyses with locus-specific probes revealed 46,X,der(X)(pter-->q21::p21-->pter). The laparoscopic examination showed bilateral streak gonads and blue berry spots at the pelvic peritoneum, which were confirmed by evaluation of biopsy specimens. CONCLUSION(S): Recent advances of genetic strategies make it easy to determine karyotype and phenotype abnormalities. We have to keep our mind on the potential of endometriosis with patients who are receiving estrogen-progestogen substitution. FAU - Nakamura, Y AU - Nakamura Y AD - Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, Ube, Japan. yasu-ygc@umin.ac.jp FAU - Suehiro, Y AU - Suehiro Y FAU - Sugino, N AU - Sugino N FAU - Sasaki, K AU - Sasaki K FAU - Kato, H AU - Kato H LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 SB - IM MH - Adult MH - Body Height/*genetics MH - Chromosomes, Human, Pair 21/*genetics MH - Endometriosis/*genetics/pathology MH - Female MH - Gene Deletion MH - Gonadal Dysgenesis/*genetics/pathology MH - Humans MH - In Situ Hybridization, Fluorescence MH - Nucleic Acid Hybridization MH - *Sex Chromosome Aberrations MH - *X Chromosome EDAT- 2001/06/01 10:00 MHDA- 2001/06/29 10:01 CRDT- 2001/06/01 10:00 PHST- 2001/06/01 10:00 [pubmed] PHST- 2001/06/29 10:01 [medline] PHST- 2001/06/01 10:00 [entrez] AID - S0015-0282(01)01807-6 [pii] AID - 10.1016/s0015-0282(01)01807-6 [doi] PST - ppublish SO - Fertil Steril. 2001 Jun;75(6):1224-5. doi: 10.1016/s0015-0282(01)01807-6.