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Original Studies |
-Reductase Type 2 Deficiency and Fertility in a Swedish Family1
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
-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
-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
-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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