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The Journal of Clinical Endocrinology & Metabolism Vol. 83, No. 9 3236-3238
Copyright © 1998 by The Endocrine Society


Original Studies

Molecular Characterization of 5{alpha}-Reductase Type 2 Deficiency and Fertility in a Swedish Family1

Agneta Nordenskjöld and Sten-Anders Ivarsson

Department of Molecular Medicine, Clinical Genetics Unit and Pediatric Surgery (A.N.), Karolinska Hospital/St. Görans Hospital, Stockholm; and Department of Pediatrics (S.-A.I.), University of Lund, University Hospital, Malmö, Sweden

Address all correspondence and requests for reprints to: A. Nordenskjöld, Department of Molecular Medicine, CMM 02, Karolinska Hospital, S-171 76 Stockholm, Sweden. E-mail: agneta.nordenskjold{at}cmm.ki.se

The molecular background of 5{alpha}-reductase type 2 deficiency was investigated in a Swedish family with no known consanguinity and in which the affected males were fertile. The three male siblings were born with ambiguous external genitalia, and the diagnosis of 5{alpha}-reductase deficiency was established at the ages of 16, 14, and 10 yr, respectively. All three siblings underwent surgery for hypospadias repair. At least two of the brothers are demonstrably fertile. Molecular analysis showed the three brothers to be compound heterozygotes, carrying two different mutations in exon 4 of the 5{alpha}-reductase type 2 gene. The two mutations (G196S and H231R) have been described previously and reported to give rise to partially functioning enzymes, which may explain the milder phenotype and perhaps the fertility in the preset three patients.




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Copyright © 1998 by The Endocrine Society