Electronic letter
Analysis of the SRY gene in Turner syndrome patients with Y chromosomal material
Tohru Yorifujia, Junko Muroia, Mitsukazu Mamadaa, Ayumi Uematsua, Masahiko Kawaia, Toru Momoib, Masayuki Kajic, Chutaro Yamanakad, Tatsutoshi Nakahataaa Department
of Paediatrics, Kyoto University Hospital, 54 Shogoin Sakyo, Kyoto
606-8507, Japan, b Department of Paediatrics, Japanese Red Cross
Society, Wakayama Medical Centre, Japan, c Department of Endocrinology and Metabolism,
Shizuoka Children's Hospital, Japan, d Department
of Paediatrics, Tenri Hospital, Japan
Correspondence to: Dr Yorifuji, yorif@kuhp.kyoto-u.ac.jp
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Introduction |
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EDITOR
Turner syndrome is one of the most common
chromosomal abnormality syndromes affecting 1 in 2500 liveborn females.
The syndrome is characterised by short stature, gonadal dysgenesis, congenital heart disease, renal anomalies, and a variety of somatic features including neck webbing, cubitus valgus, short neck, and widely
set nipples. Nearly half of the patients have a classical 45,X
karyotype while others have structurally abnormal sex chromosomes (for
example, 46,X,i(Xq)) or are mosaics with other cell lines with normal
(46,XX) or abnormal sex chromosomes.1-4 Among these, patients with Y chromosomal material require specific attention since
many of these 45,X/46,XY Turner syndrome patients develop gonadoblastoma or dysgerminoma later in life.5 6
Conventional chromosomal analysis indicates that 4-20% of patients
with Turner syndrome have a Y chromosome or its
derivatives.1-4 These figures could be even higher, since
the more sensitive PCR based analysis has shown that 15-60% of
cytogenetically 45,X females have Y chromosomal
material.7-9
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