A highly rare female phenotype with complex chromosomal mosaicism: 46,XY/45,X/46,X,r(Y)

Complicated cases with mosaic chromosomal patterns can exhibit a wide range of phenotypic features, from apparently normal males with variable external genitalia to females with or without characteristics of Turner syndrome. These phenotypic discrepancies are not directly related to the number of mosaic cells or the specific location of Y chromosome breakage. Therefore, in cases of primary amenorrhea with genotype-phenotype discrepancies, a multidisciplinary approach is essential to guide appropriate sex determination and management.

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Daehan saengsik uihak hoeji/Clinical and experimental reproductive medicine
Published
2025-11-24
DOI
https://doi.org/10.5653/cerm.2025.08011
Primary Topic
Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
Type
article
Field-Weighted Citation Impact
0.00

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article

A highly rare female phenotype with complex chromosomal mosaicism: 46,XY/45,X/46,X,r(Y)

Maryam Abiri, Seyyed Mohammad Ghahestani, Fatemeh Golgiri, Zohreh Maghsoomi et al.
Daehan saengsik uihak hoeji/Clinical and experimental reproductive medicine
Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
article

A highly rare female phenotype with complex chromosomal mosaicism: 46,XY/45,X/46,X,r(Y)

Maryam Abiri, Seyyed Mohammad Ghahestani, Fatemeh Golgiri, Zohreh Maghsoomi, Nikoo Emtiazi, Maryam Eghbali‐Babadi, Hamed Iraji, Fatemeh Tajikrostami
article en

Abstract

Complicated cases with mosaic chromosomal patterns can exhibit a wide range of phenotypic features, from apparently normal males with variable external genitalia to females with or without characteristics of Turner syndrome. These phenotypic discrepancies are not directly related to the number of mosaic cells or the specific location of Y chromosome breakage. Therefore, in cases of primary amenorrhea with genotype-phenotype discrepancies, a multidisciplinary approach is essential to guide appropriate sex determination and management.

Daehan saengsik uihak hoeji/Clinical and experimental reproductive medicine
Iran University of Medical Sciences (IR), Rasool Akram Hospital (IR), Firoozgar General Hospital (IR), Children's Medical Center (IR), Tehran University of Medical Sciences (IR)
Tehran University of Medical Sciences and Health Services
Openalex Percentile: Top 62%
Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
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A highly rare female phenotype with complex chromosomal mosaicism: 46,XY/45,X/46,X,r(Y) — Maryam Abiri, Seyyed Mohammad Ghahestani, et al. · Daehan saengsik uihak hoeji/Clinical and experimental reproductive medicine (2025) | TGRS Research Map | TGRS