PT - JOURNAL ARTICLE AU - T T Kirchman AU - M L Levy AU - R A Lewis AU - M H Kanzler AU - D L Nelson AU - A E Scheuerle TI - Gonadal mosaicism for incontinentia pigmenti in a healthy male. AID - 10.1136/jmg.32.11.887 DP - 1995 Nov 01 TA - Journal of Medical Genetics PG - 887--890 VI - 32 IP - 11 4099 - http://jmg.bmj.com/content/32/11/887.short 4100 - http://jmg.bmj.com/content/32/11/887.full SO - J Med Genet1995 Nov 01; 32 AB - Incontinentia pigmenti (IP) is a genodermatosis that segregates as an X linked dominant trait with male lethality. The disease has been linked to Xq28 in a number of studies. A few affected males have been documented, most of whom have a 47,XXY karyotype. We report a family with two paternally related half sisters, each affected with IP. The father is healthy, clinically normal, and has a 46,XY normal male karyotype. Linkage analysis of 12 polymorphic markers (two X linked and 10 autosomal) confirms paternity. X inactivation studies with the human androgen receptor (HUMARA) indicate that the paternal X chromosome is inactivated preferentially in each girl, implying that this chromosome carries the IP mutation, and that the father is a gonadal mosaic for the IP mutation.