Korean J Obstet Gynecol.  2007 Mar;50(3):550-554.

A case of 5 alpha reductase deficiency

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine, Daegu Catholic University, Daegu, Korea. drcys@cu.ac.kr
  • 2Department of Pathology, College of Medicine, Daegu Catholic University, Daegu, Korea.
  • 3Department of Urology, College of Medicine, Daegu Catholic University, Daegu, Korea.

Abstract

5 alpha-reductase deficiency is a rare autosomal recessive disorder caused by mutations in the SRD5A2-gene, resulting in absent or diminished dihydrotestosterone (DHT) formation and, hence, in an underdevelopment of the external genitalia in patients with 46,XY karyotype. Recently we experienced a 17 years old patient with chief complaint of primary amenorrhea, who showed 46,XY karyotype, enlarged clitoris, virilization, undeveloped breast and palpable bilateral inguinal mass. We diagnosed it as 5 alpha?reductase deficiency and removed the bilateral gonads, so we report it with brief review of literature.

Keyword

5alpha-reductase deficiency; Male pseudohermaphroditism

MeSH Terms

46, XY Disorders of Sex Development
Adolescent
Amenorrhea
Breast
Cholestenone 5 alpha-Reductase*
Clitoris
Dihydrotestosterone
Female
Genitalia
Gonads
Humans
Karyotype
Virilism
Cholestenone 5 alpha-Reductase
Dihydrotestosterone
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