PMID- 15136108 OWN - NLM STAT- MEDLINE DCOM- 20040624 LR - 20220311 IS - 0015-0282 (Print) IS - 0015-0282 (Linking) VI - 81 IP - 5 DP - 2004 May TI - Molecular and cytogenetic characterization of a structural rearrangement of the Y chromosome in an azoospermic man. PG - 1388-90 AB - OBJECTIVE: To better define an abnormal karyotype found in a male with primary infertility. DESIGN: Case report. SETTING: Molecular and cytogenetics unit in a university-affiliated hospital. PATIENT(S): A 41-year-old, azoospermic, but otherwise healthy male. INTERVENTION(S): Lymphocytic karyotype and genetic counseling. MAIN OUTCOME MEASURE(S): Metaphases were studied by standard G- and Q-banding, followed by fluorescence in situ hybridization (FISH) and polymerase chain reaction to analyze specific Y chromosome regions. RESULT(S): Chromosomal analysis and FISH allowed us to define the propositus's karyotype as 45,X/46,X,idic(Yp)/46,XY (71%, 26%, and 3% of analyzed metaphases, respectively). Molecular analysis of azoospermic factor (AZF) regions showed deletion of AZFb and AZFc. CONCLUSION(S): A 45,X/46,X,idic(Yp) mosaicism is associated with a very broad spectrum of phenotypes, including patients with Ullrich-Turner syndrome, patients with various degrees of genital ambiguity, or normal males. In the presence of a normal masculinization in otherwise healthy males azoospermia is a distinct feature that can be explained by partial deletion of AZF regions. FAU - Valetto, Angelo AU - Valetto A AD - Azienda Ospedaliera Universitaria Pisana, Pisa, Italy. FAU - Bertini, Veronica AU - Bertini V FAU - Rapalini, Erika AU - Rapalini E FAU - Baldinotti, Fulvia AU - Baldinotti F FAU - Di Martino, Daniela AU - Di Martino D FAU - Simi, Paolo AU - Simi P 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 - Chromosome Deletion MH - *Chromosomes, Human, Y MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Male MH - Oligospermia/*genetics MH - *Sex Chromosome Aberrations EDAT- 2004/05/12 05:00 MHDA- 2004/06/25 05:00 CRDT- 2004/05/12 05:00 PHST- 2003/06/09 00:00 [received] PHST- 2003/09/30 00:00 [revised] PHST- 2003/09/30 00:00 [accepted] PHST- 2004/05/12 05:00 [pubmed] PHST- 2004/06/25 05:00 [medline] PHST- 2004/05/12 05:00 [entrez] AID - S0015028204001463 [pii] AID - 10.1016/j.fertnstert.2003.09.069 [doi] PST - ppublish SO - Fertil Steril. 2004 May;81(5):1388-90. doi: 10.1016/j.fertnstert.2003.09.069.