The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
A CASE OF MALE INFERTILITY WITH A CHROMOSOMAL ABNORMALITY OF 45, X/46, X+mar
Hiroshi TeradaYasuzoh YamaguchiTomomi UshiyamaKazuo SuzukiAtsushi TajimaKazuki Kawabe
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Keywords: 45, X/46, X+mar, DNA analysis, SRY
JOURNAL FREE ACCESS

1995 Volume 86 Issue 7 Pages 1294-1297

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Abstract

A 28-year-old man visited our hospital with a complaint of male infertility. His development was normal with body size of 169.5cm in height and muscular type. His beard and axillary and pubic hairs were male type. The penis and scrotum were also normal, but testes were small (8ml, bilateral).
Semen analysis reveled azoospermia. Serum luteinizing hormone (LH) and testosterone levels are within normal range but follicle stimulating hormone (FSH) was moderately elevated.
Testicular biopsy specimen showed severely hyalinized seminiferous tubuli, incarceration of basement membrane and hyperplasia of Leydig cells. Johnsen's score count was two. Chromosomal analysis reveled a mosaic type of 45, X/46, X+mar. We tried to confirm the existence of sex-determining region of the Y chromosome (SRY) by the DNA analysis. It was shown that SRY on genomic DNA fragment. This marker chromosome may be translocated to a fragment of the short arm of Y chromosome.

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© Japanese Urological Association
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