International Research Journal of Medicine and Biomedical Sciences
A rare case of 47,XXY/46,XY mosaic klinefelter syndrome with unique phenotype
Hasan Simsek |
Abdullah Gul* |
Serhat Yentur |
Ahmet Sahan |
Klinefelter syndrome (KS) is one of the most common congenital chromosomal abnormalities and one of the most common causes of infertility in men. As there are mosaic forms (eg. 47,XXY/46,XY; 47,XXY/46,XX), there are also non-mosaic forms (eg. 47,XXY; 48,XXY; 49,XXXXY; 48,XXYY) of the disease. Although the clinical findings are variable, the mosaic forms have milder phenotype than non-mosaic forms. In addition to common features, some rare findings such as Persistent Mullerian Duct Syndrome, micropenis, cryptorchidism, and hypospadias may accompany the disease. We report here a 27-year-old male 47,XXY/46,XY (80%/20% respectively) mosaic type KS patient with unusual abnormalities like scrotal hyperpigmentation and evident intellectual disability as well as known ones and discuss it in the context of the literature.
Keywords: Klinefelter syndrome, mosaicism, persistent mullerian duct syndrome, scrotal hyperpigmentation
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